Shannon Whitlock, PAC
Shannon Whitlock, PAC is a Physician Assistant in Prescott, Arizona. Graduated from George Washington University School of Medicine in 2005, 21 years ago. Practices with Forefront Dermatology SC, a 645-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Arizona and Virginia.
- Years since qualifying
- 21
- Trained at
- George Washington University School of Medicine
- Licensed in
- AZ, VA
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- PAC — Physician Assistant, Certified
- A physician assistant holding current national certification; usually written PA-C.
Practice location Address checks out
830 Ainsworth DrPrescott, AZ 86301-1630
Phone: (928) 777-5800
Fax: (928) 776-0405
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (4)
- 203 S Candy Ln # 14, Cottonwood, AZ 86326-4120 — (928) 639-3387
- 820 Ainsworth Dr Ste A, Prescott, AZ 86301-1613 — (928) 777-5800
- 2820 N Glassford Hill Rd Ste 107, Prescott Valley, AZ 86314-2256 — (928) 772-8553
- 2820 N Glassford Hill Rd Ste 103, Prescott Valley, AZ 86314-2256 — (928) 772-8553
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 10942 (AZ) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 0110002157 (VA) |
Record details
| NPI number | 1932274578 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PAC |
| Sole proprietor | No |
| NPI enumerated | November 21, 2006 |
| Last updated in NPPES | April 24, 2025 |
| Certification date | April 24, 2025 |
| Mailing address | 801 York St, Manitowoc, WI 54220-4630 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2005 (21 years in practice) |
| Group practice | Forefront Dermatology Sc — 645 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Prescott
-
Shalena Peterson, PA-C
3120 Clearwater Dr, Prescott, AZ 86305-7131 · (928) 771-3704
-
Mr. Keith A Plamondon, PA-C
1001 Division St, Prescott, AZ 86301-1601 · (928) 775-5567
-
Mrs. Melinda Ann Rawcliffe, MS, PA-C
1001 Division St, Prescott, AZ 86301-1601 · (928) 445-4818
-
Rosemarie S Vedda, PA-C
500 N US Highway 89, Prescott, AZ 86313-5001 · (928) 445-4860