Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon Louise Ryan, PA-C

Individual provider Medical Physician Assistant · NPI 1811600596

Shannon Louise Ryan, PA-C is a Physician Assistant in Jacksonville, Florida. Qualified in 2022, 4 years ago. Practices with Southeast Orthopedic Specialists LLC, a 145-clinician group and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
4
Licensed in
IL, MI
In the registry since
2022
Specialties on file
3
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

Naval Hospital Jacksonville 2080 Child St
Jacksonville, FL 32214-0001
Phone: (904) 542-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085011572 (IL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 5601011451 (MI)
Military Health Care Provider Taxonomy 171000000X

Record details

NPI number1811600596
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 28, 2022
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Southeast Orthopedic Specialists Llc — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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