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

Shannon Michael Gennette

Individual provider Family Nurse Practitioner · NPI 1336786144

Shannon Michael Gennette is a Family Nurse Practitioner in San Jose, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

751 S Bascom Ave
San Jose, CA 95128-2699
Phone: (408) 885-2454
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95012678 (CA)

Record details

NPI number1336786144
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 30, 2019
Last updated in NPPESNovember 30, 2019

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