Physician Assistant
Mrs. SHANNA AUTREY PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1164405791 · enumerated 2005-11-29 · record updated 2026-09-17. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 200 12TH STREET EXT, PRINCETON, WV, 24740-2329 (304) 425-9541 Fax (304) 425-9219 Google Maps Apple Maps OpenStreetMap
- Practice location 200 12TH STREET EXT, PRINCETON, WV, 24740-2329 (304) 425-9541 Fax (304) 425-9219 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License 566 WV
In this directory
Locations and evidence
-
Practice location
PRINCETON, WV, 247402329
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.