Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON MARIE JANNECK, PA-C
ActiveSHANNON MARIE JANNECK, PA-C is a Physician Assistant healthcare provider located in BLOOMINGTON, Indiana. NPI 1770466054 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BLOOMINGTON, IN
Registration Details
- NPI Number
- 1770466054
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 25, 2025 (1.0466502462562 yrs)
- Last Updated
- Dec 27, 2025
- License
-
10005005A (IN)
Practice Information
- Address
-
2651 E DISCOVERY PKWYBLOOMINGTON, IN, 474089059Browse IN providers · Browse ZIP 47408
- Phone
- 8126764144
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in BLOOMINGTON, IN
| Name | Credential | NPI |
|---|---|---|
| MR. STANLEY MILTON RICE | PAC | 1770587651 |
| CHERYL D PITTSFORD | PA-C | 1205834546 |
| RICHARD S KELTNER | PA-C | 1407855364 |
| ANTHONY L GRASCH | PA-C | 1417938077 |
| BRIAN SETH WARNER | PA-C | 1346222833 |
| REBECCA JANE HARRIS | P.A. | 1356399026 |
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.