Jennifer Suzanne Shivnen, PA-C

NPI #1366910176 in Clio, Michigan

Provider Information

NPI Number: 1366910176
Entity Type: Individual
Name: Jennifer Suzanne Shivnen, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 9, 2018
Last Updated: May 18, 2020

Practice Location

Address: 11307 N LINDEN RD
City: Clio
State: Michigan
ZIP Code: 48420-8589
Phone: (810) 564-7995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant - Surgical — Surgical	363AS0400X
Physician Assistant	363A00000X	Primary

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