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JESSICA SHANNON DC
NPI 1174011167
Chiropractor in Lakeville, MN

Active since April 25, 2018
18466 KENYON AVE, LAKEVILLE, MN 55044(612) 470-3688 Get Directions Write a Review

NPPES record last updated: December 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 23, 2022, Feb 27, 2020, Jan 3, 2020 and 1 more (4 updates tracked since 2018).

About Jessica Shannon Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA SHANNON DC (NPI 1174011167) is an individual chiropractor in Lakeville, Minnesota, licensed in Minnesota (6503) and active in the NPI registry since April 2018. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1174011167
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameJESSICA SHANNONCredential: DC
Location Address18466 KENYON AVELakeville, MN 55044-6911
Mailing Address9620 Livery LnLakeville, MN 55044-7128
Phone(612) 470-3688
Sole ProprietorNo
Enumeration DateApril 25, 2018
Last NPPES UpdateDecember 23, 20224 updates tracked since enumeration
NPPES CertifiedNovember 8, 2020
✔ NPI 1174011167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 6503
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
18466 KENYON AVE, Lakeville, MN 55044
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Secondary Practice Locations 2

Location 19620 Livery LnLakeville, MN 55044-7128 · Phone (651) 387-7864
Location 218556 Pilot Knob Rd Ste 102Farmington, MN 55024-8679 · Phone (651) 387-7864

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Shannon's NPI number?

The NPI number for Jessica Shannon is 1174011167. It was assigned to this individual provider in the NPPES registry on April 25, 2018.

Where is Jessica Shannon located?

Jessica Shannon practices at 18466 Kenyon Ave, Lakeville, MN 55044. The listed phone number is (612) 470-3688.

What is Jessica Shannon's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Jessica Shannon was last updated on December 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.