SHANNON R CLARK NP

Dr SHANNON R CLARK NP is a female medical professional, specializing in Nurse Practitioner. She graduated in 2001.

Contact

2810 CROW CANYON RD
SAN RAMON
CA
945831670

Tel:

SHANNON R CLARK NP Information

Npi 1760537617
Pac Id 6305873365
Professional Enrollment Id I20050720001216
Last Name CLARK
First Name SHANNON
Middle Name R
Suffix
Gender F
Credential NP
Medical School Name OTHER
Graduation Year 2001
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 2810 CROW CANYON RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SAN RAMON
State CA
Zip Code 945831670
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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