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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANNON WHITLOCK, PAC

Active

SHANNON WHITLOCK, PAC is a Medical Physician Assistant healthcare provider located in PRESCOTT, Arizona. NPI 1932274578 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · PRESCOTT, AZ

Registration Details

NPI Number
1932274578
Provider Type
Individual
Gender
Female
NPI Issued
Nov 21, 2006 (19.692182011601 yrs)
Last Updated
Apr 24, 2025
Licenses
0110002157 (VA)
10942 (AZ)

Practice Information

Address
830 AINSWORTH DR
PRESCOTT, AZ, 863011630
Browse AZ providers · Browse ZIP 86301
Phone
9287775800
Fax
9287760405
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in PRESCOTT, AZ

Name Credential NPI
GEOFFREY STUART LAGARY PA-C 1265491344
MR. DANIEL LEE MOFFAT P.A.C. 1659331833
MR. DON K LARUE MPAS,APA-C 1477513562
ROSEMARIE S VEDDA PA-C 1659338507
MR. MATTHEW ALEXANDER NAMIHAS PA-C 1043243801
WILLIAM F DUFF RPA-C 1780603456
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.