Swiney, Shannon Jenkin

Swiney, Shannon Jenkin is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Cardiology, Saint Louis MO 63110-1002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Swiney, Shannon Jenkin can be contacted via phone (314) 454-6095.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Cardiology Saint Louis MO 63110-1002
Phone: (314) 454-6095
Fax: (314) 884-6008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2011035558 Missouri

Profile Details

NPI number 1649557893
LBN Legal business name Swiney, Shannon Jenkin
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2011
Last updated Feb 9th, 2026 - about 9 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649557893 NPPES
Missouri MEDICAID 426606703

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