| Doctor Name: | MRS. SHANNON NICHOLE HEWITT |
| NPI Number: | 1821413873 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | 95001639 |
| Business Practice Address: | 755 Scott Cir Ste 559 15th Medical Group Jbphh, HI - 968535399 |
| Business Phone Number: | 8084486000 |
| Business Fax Number: | |
| Mailing Address: | 45-1107a Grote Rd, KANEOHE |
| State: | HI |
| Postal Code: | 967443218 |
| Phone Number: | 8082860559 |
| Fax Number: | |
| NPI Enumeration Date: | 02/27/2014 |
| NPI Last Update Date: | 01/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 95001639 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |