Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Imani L Shannon

Individual provider Driver · NPI 1801671177

Imani L Shannon is a Driver in Stockton, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
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Practice location Address checks out

1919 Grand Canal Blvd
Stockton, CA 95207-8135
Phone: (415) 423-4476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence F7077821 (CA)

Record details

NPI number1801671177
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 25, 2023
Last updated in NPPESAugust 25, 2023
Certification dateAugust 25, 2023
Mailing address1919 Grand Canal Blvd, Stockton, CA 95207-8135

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