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

Nicole Shannon, PA-C

Individual provider Medical Physician Assistant · NPI 1952090268

Nicole Shannon, PA-C is a Medical Physician Assistant in Fredericksburg, Virginia. Licensed in Virginia. Registered with an NPI since 2023.

Licensed in
VA
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

406 Chatham Sq Ofc Park
Fredericksburg, VA 22405-2585
Phone: (540) 666-6181
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 0110009187 (VA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0110009187 (VA)

Record details

NPI number1952090268
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 3, 2023
Last updated in NPPESMay 3, 2023
Certification dateMay 3, 2023

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