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

Shawnna Marie McGannon, NP

Individual provider Adult Health Nurse Practitioner · NPI 1417888249

Shawnna Marie McGannon, NP is a Nurse Practitioner in Prescott, Arizona. Graduated from University of South Alabama College of Medicine in 2025, 1 year ago. Licensed in Arizona.

Years since qualifying
1
Trained at
University of South Alabama College of Medicine
Licensed in
AZ
In the registry since
2026
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1001 Willow Creek Rd Ste 2200
Prescott, AZ 86301-1614
Phone: (928) 445-6025
Fax: (928) 778-3026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 335168 (AZ)

Record details

NPI number1417888249
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 28, 2026
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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