Mckissick, Shawn M

Mckissick, Shawn M is an individual health care provider with primary practice located at 1735 E Skyline Dr , Tucson AZ 85718-1162. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Mckissick, Shawn M can be contacted via phone (520) 618-1630.

Contact Information

Primary practice address
1735 E Skyline Dr Tucson AZ 85718-1162
Phone: (520) 618-1630
Fax: (520) 618-1636
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN083510 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP1949 Arizona

Profile Details

NPI number 1942288642
LBN Legal business name Mckissick, Shawn M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Oct 21st, 2019 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942288642 NPPES
Arizona MEDICAID 874760

Popular Providers