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

Shannon Bennett-Gunderson

Individual provider Family Nurse Practitioner · NPI 1073054334

Shannon Bennett-Gunderson is a Family Nurse Practitioner in San Diego, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2017
Specialties on file
2

Practice location Address checks out

5717 Pacific Center Blvd Ste 200
San Diego, CA 92121-4250
Phone: (858) 859-1188
Show map & directions

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

Additional practice locations (1)

  • 7875 Highland Village Pl, San Diego, CA 92129-5189 — (858) 688-6968

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95005012 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 536000 (CA)

Record details

NPI number1073054334
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 19, 2017
Last updated in NPPESMay 10, 2019

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