Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SHANNON DRE CHISHOLM, PA-C
Active Sole ProprietorMS. SHANNON DRE CHISHOLM, PA-C is a Physician Assistant healthcare provider located in DAYTONA BEACH, Florida. NPI 1700824638 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · DAYTONA BEACH, FL
Registration Details
- NPI Number
- 1700824638
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 3, 2006 (20.011316554442 yrs)
- Last Updated
- Oct 3, 2025
- Licenses
-
PA02625 (TX)PA9107966 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
595 N WILLIAMSON BLVDDAYTONA BEACH, FL, 321147185Browse FL providers · Browse ZIP 32114
- Phone
- 8722313162
- Fax
- 7029771496
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in DAYTONA BEACH, FL
| Name | Credential | NPI |
|---|---|---|
| MRS. HEATHER L CRAWFORD | PA-C | 1871588830 |
| LAURA ANNE STONAKER | PA.C | 1225026503 |
| JENNIFER L FICK | PA-C | 1932182177 |
| MRS. ELIZABETH HUNT BAKER | PA C | 1801864681 |
| MRS. KANDACE F VAGOVIC | PA-C | 1336193044 |
| ANTHONY A. AZZARELLO | PA | 1073568747 |
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.