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Shannon Ballard, PA-C — NPI 1962723130, Newcastle, WY | NPI Central

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NPI 1962723130

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Shannon Ballard, PA-C

NPI 1962723130 · Medical Physician Assistant · Newcastle, WY

Provider details

NPI number: 1962723130
Entity type: Individual
Primary specialty: Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: PA-C
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Medical Physician AssistantPrimary363AM0700X
Physician Assistants & Advanced Practice Nursing Providers

Practice location

1124 Washington Blvd

Newcastle, WY 82701-2972

Phone: (307) 746-3700

Approximate (ZIP-level) locationGet directions

More WY providers

Mailing address

2801 Purcell St

Brighton, CO 80601-3551

Additional practice locations (1)

921 Ballancee Ave
Lusk, WY 82225-5245
Phone: (720) 316-6903

Registry dates

Enumerated: 2010-06-22
Last updated: 2025-12-31
Certified: 2025-12-31

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.