Johnson, Shannon Kathleen

Johnson, Shannon Kathleen is an individual health care provider with primary practice located at 1210 W Braker Ln , Austin TX 78758-3801. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Johnson, Shannon Kathleen can be contacted via phone (512) 978-9300.

Contact Information

Primary practice address
1210 W Braker Ln Austin TX 78758-3801
Phone: (512) 978-9300
Fax: (512) 901-9737
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 1329 California
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 1329 California
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 1046931 Texas

Profile Details

NPI number 1861448029
LBN Legal business name Johnson, Shannon Kathleen
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Dec 8th, 2021 - about 3 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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