Shannon Johnson, PA-C

NPI 1750566790 · on the registry since 2008

Practice

Address: 1228 E Rusholme St
Mob 1, Suite 3020
Davenport, IA 52803
Phone: (563) 421-7540
Fax: (563) 421-7549
Organisation at this address: Clyfee Dialysis Llc
Davenport Surgical Group Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 22

Registry record

Primary taxonomy: 363A00000X
363A00000X
Also registered as: 363A00000X
Licence states on file: IL, IA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-10-12

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 Iowa