Jill Shannahan, M.D.
Psychiatry & Neurology, Psychiatry in Santa Cruz, CA. Individual provider (NPI-1).
NPI number1467516005
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1467516005
- Entity type
- Individual (NPI-1)
- Name
- Jill Shannahan
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 20, 2006
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | G83206 | CA | Yes |
Practice location
1400 Emeline AveSanta Cruz, CA 95060-1976
Phone 831-454-4170 · Fax 831-454-4663
Mailing address
1400 Emeline AveSanta Cruz, CA 95060-1976
Phone 831-454-4170 · Fax 831-454-4663
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