Mckibben, Djaninn Mae Shannon

Mckibben, Djaninn Mae Shannon is an individual health care provider with primary practice located at 222 N 7Th St , Bismarck ND 58501-4436. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mckibben, Djaninn Mae Shannon can be contacted via phone (701) 323-6000.

Contact Information

Primary practice address
222 N 7Th St Bismarck ND 58501-4436
Phone: (701) 323-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 11613 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PAC0687 North Dakota

Profile Details

NPI number 1023422805
LBN Legal business name Mckibben, Djaninn Mae Shannon
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2014
Last updated Feb 22nd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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