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

SHANNON BALLARD, PA-C

Active

SHANNON BALLARD, PA-C is a Medical Physician Assistant healthcare provider located in NEWCASTLE, Wyoming. NPI 1962723130 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · NEWCASTLE, WY

Registration Details

NPI Number
1962723130
Provider Type
Individual
Gender
Female
NPI Issued
Jun 22, 2010 (16.108509405111 yrs)
Last Updated
Dec 31, 2025

Practice Information

Address
1124 WASHINGTON BLVD
NEWCASTLE, WY, 827012972
Browse WY providers · Browse ZIP 82701
Phone
3077463700
Primary Specialty
Medical Physician Assistant
363AM0700X
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.