Johnson, Shannon Lee

Johnson, Shannon Lee is an individual health care provider with primary practice located at 1228 E Rusholme St Mob 1, Suite 3020, Davenport IA 52803. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Johnson, Shannon Lee can be contacted via phone (563) 421-7540.

Contact Information

Primary practice address
1228 E Rusholme St Mob 1, Suite 3020 Davenport IA 52803
Phone: (563) 421-7540
Fax: (563) 421-7549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085003168 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 002328 Iowa

Profile Details

NPI number 1750566790
LBN Legal business name Johnson, Shannon Lee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2008
Last updated Oct 12th, 2021 - about 4 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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