Provider Demographics
NPI:1487362448
Name:ALLMAN, SHAWNA OLIVIA
Entity type:Individual
Prefix:
First Name:SHAWNA
Middle Name:OLIVIA
Last Name:ALLMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:NC
Mailing Address - Zip Code:28640-9779
Mailing Address - Country:US
Mailing Address - Phone:828-508-1153
Mailing Address - Fax:
Practice Address - Street 1:952 US HIGHWAY 221 BUS
Practice Address - Street 2:
Practice Address - City:WEST JEFFERSON
Practice Address - State:NC
Practice Address - Zip Code:28694-8137
Practice Address - Country:US
Practice Address - Phone:336-846-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-09
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant