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SHANNON WILLS
NPI 1306297478
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since June 29, 2016
3990 OLD TOWN AVE STE C201, SAN DIEGO, CA 92110(619) 278-2400 Get Directions Write a Review

NPPES record last updated: July 8, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Wills NPPES

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

SHANNON WILLS (NPI 1306297478) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1306297478
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHANNON WILLS
Location Address3990 OLD TOWN AVE STE C201San Diego, CA 92110-2933
Mailing Address3856 Yosemite StNapa, CA 94558-2347
Phone(619) 278-2400
Sole ProprietorNo
Enumeration DateJune 29, 2016
Last NPPES UpdateJuly 8, 2016
✔ NPI 1306297478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3990 OLD TOWN AVE STE C201, San Diego, CA 92110
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNY THUC NGUYEN
Social Worker (Clinical)
3990 OLD TOWN AVE STE C201
SAN DIEGO, CA 92110
San Diego County (619) 278-2400
SURVIVORS OF TORTURE, INTERNATIONAL
Community/Behavioral Health
3990 OLD TOWN AVE STE C201
SAN DIEGO, CA 92110
San Diego County (619) 278-2400

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 Shannon Wills's NPI number?

The NPI number for Shannon Wills is 1306297478. It was assigned to this individual provider in the NPPES registry on June 29, 2016.

Where is Shannon Wills located?

Shannon Wills practices at 3990 Old Town Ave Ste C201, San Diego, CA 92110. The listed phone number is (619) 278-2400.

What is Shannon Wills's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Shannon Wills was last updated on July 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.