Individual
MS. SHAWN M MCKISSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1735 E SKYLINE DR, TUCSON, AZ 85718-1162
(520) 618-1630
(520) 618-1636
Mailing address
3709 N CAMPBELL AVE STE 201, TUCSON, AZ 85719-1563
(520) 320-3918
(520) 692-9430
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP1949
AZ
363LA2100X
Acute Care Nurse Practitioner
RN083510
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
874760
—
AZ
Enumeration date
01/04/2006
Last updated
10/21/2019
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