Individual provider · NPI-1

Dr. Shannon Nicole Avena, DO, MS

Family Medicine · Dublin, OH

NPI number1780211581
StatusActive
Last updated in NPPESApr 27, 2026

Details

NPI
1780211581
Entity type
Individual (NPI-1)
Name
Dr. Shannon Nicole Avena
Credential
DO, MS
Sex
Female
Sole proprietor
No
Enumeration date
Mar 24, 2020
Certification date
Apr 27, 2026
Last updated
Apr 27, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine34.016350OHYes

Other names

  • Shannon Novin (Former Name)

Practice location

6880 Perimeter Dr
Dublin, OH 43016-2520

Phone 614-685-2805

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559

Phone 614-685-2805 · Fax 614-257-2839

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