DJANINN MAE SHANNON MCKIBBEN PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1023422805- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 222 N 7TH ST, BISMARCK, ND, 585014436
- Phone
- (701) 323-6000
Specialties & Taxonomies
Physician Assistant
License: MN #11613
Physician Assistant
Primary License: ND #PAC0687