Provider Information
Last Updated: Nov 24 2025 4:22 PM
Jeannine Anne Shively
City Brawley |
Group Imperial County Physicians Medical Group |
Specialty Physician Assistant |
Last Name Shively |
First Name Jeannine |
Middle Name Anne |
Address 207 W Legion Rd |
State CA |
Zip Code 92227 |
Phone 7603513333 |
Gender F |
Title PAC |
Section Number 4 |
County Imperial |
Accepting New Patient Yes |
NPI Number 1164688529 |
License ID PA19841 |
Panel Status E |