Individual
MRS. SHANNON LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1228 E RUSHOLME ST, MOB 1, SUITE 3020, DAVENPORT, IA 52803
(563) 421-7540
(563) 421-7549
Mailing address
1228 E RUSHOLME ST, MOB 1, SUITE 3020, DAVENPORT, IA 52803
(563) 421-7540
(563) 421-7549
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002328
IA
363A00000X
Physician Assistant
085003168
IL
Other
Enumeration date
01/09/2008
Last updated
10/12/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us