NPI 1023422805

Djaninn Mae Shannon McKibben, PAC

Practitioner Physician Assistant Bismarck, ND

Practice location

Address: 222 N 7th St, Bismarck, ND 58501-4436
Phone: (701) 323-6000
Mailing address: PO Box 5074, Sioux Falls, SD 57117-5074

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PAC0687 (ND)

Other Physician Assistant providers in North Dakota →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 11613 (MN)

Registry record

NPI: 1023422805
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jun 2014
Record last updated: 22 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.