Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DJANINN MAE SHANNON MCKIBBEN, PA-C
ActiveDJANINN MAE SHANNON MCKIBBEN, PA-C is a Physician Assistant healthcare provider located in BISMARCK, North Dakota. NPI 1023422805 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BISMARCK, ND
Registration Details
- NPI Number
- 1023422805
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 19, 2014 (12.163126937408 yrs)
- Last Updated
- Feb 22, 2023
- Licenses
-
11613 (MN)PAC0687 (ND)
Practice Information
- Address
-
222 N 7TH STBISMARCK, ND, 585014436Browse ND providers · Browse ZIP 58501
- Phone
- 7013236000
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in BISMARCK, ND
| Name | Credential | NPI |
|---|---|---|
| STACEY LEE KONZAK | PA C | 1962486969 |
| DENISE EILEEN FRIED | PA-C | 1740254739 |
| STACIE L MORITZ | PA-C | 1124075619 |
| ANNE M EARSLEY | PA-C | 1679518484 |
| MANDI L BRAUN | PA-C | 1407891112 |
| TRACY L VEARRIER | PA-C | 1043255755 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.