Shannon Chisholm, PA-C

NPI 1700824638 · on the registry since 2006 · sole proprietor

Practice

Address: 595 N Williamson Blvd
Daytona Beach, FL 32114
Phone: (872) 231-3162
Fax: (702) 977-1496
Organisation at this address: Direct Therapy Services Llc
Bedrock Hcs At Daytona Fl Llc
Bedrock Hcs At Daytona Fl Llc
Health Care Services Pool, Llc
Alliance Foundation Of Florida Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 363A00000X
363A00000X
Also registered as: 363AS0400X
Licence states on file: TX, FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-10-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida