NICOLE SHANNON

FREDERICKSBURG, VA
NPI1952090268
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: VA  0110009187)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: VA  0110009187)
Enumeration Date2023-05-03
Last Update Date2023-05-03
Business Address
NICOLE SHANNON PA-C
406 CHATHAM SQUARE OFFICE PARK
FREDERICKSBURG, VA 22405-2585
Phone number: 540-666-6181
Mailing Address
NICOLE SHANNON PA-C
406 CHATHAM SQUARE OFFICE PARK
FREDERICKSBURG, VA 22405-2585
Phone number: 540-903-4135