Devita, Shannon Leigh

Devita, Shannon Leigh is an individual health care provider with primary practice located at 975 Garnet Ave , San Diego CA 92109-2729. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Devita, Shannon Leigh can be contacted via phone (858) 230-7770.

Contact Information

Primary practice address
975 Garnet Ave San Diego CA 92109-2729
Phone: (858) 230-7770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X NP95002761 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP95002761 California

Profile Details

NPI number 1750755617
LBN Legal business name Devita, Shannon Leigh
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2015
Last updated Aug 21st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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