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Contact Information

SHANNON B POWELL, PA
4250 HOSPITAL DR
MARIANNA, FL32446-1917
 Phone: 850-718-2580
 Fax: 850-718-2551
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Radiography Radiologic Technologist

2471C3402X
Indicates primary specialty

NPI Profile & details for SHANNON B POWELL · (Female)

NPI Number 1538365341
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 06/27/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • FL License # 07FL1280
  • FL License # FL39590
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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