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

Shannon Tucker, PA

Individual provider Medical Physician Assistant · NPI 1730575218

Shannon Tucker, PA is a Medical Physician Assistant in Charlottesville, Virginia. Licensed in Mississippi and Virginia. Registered with an NPI since 2015.

Licensed in
MS, VA
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1215 Lee St
Charlottesville, VA 22908-4500
Phone: (434) 243-3090
Fax: (434) 244-9445
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110005762 (VA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA00245 (MS)

Record details

NPI number1730575218
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 10, 2015
Last updated in NPPESSeptember 13, 2017

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