California-licensed family nurse practitioner Marci Shewry, RN license B337669, practices adult primary care at 4060 Fourth Avenue Suite 100, the Hillcrest office of San Diego Medical Group. Imaging orders for routine screening ultrasounds, CT, and mammography route through Imaging Healthcare Specialists Hillcrest two blocks south, giving patients a same-campus diagnostic pathway. Shewry completed her Master of Science in Nursing with Family Nurse Practitioner training at the University of San Diego Hahn School of Nursing in 2004 and carries NPI 1316066574 with an adult health taxonomy. Prior clinical roles at Graybill Medical Group and as a sub-investigator at Pacific Research Network added exposure to protocol-driven chronic disease trials in hypertension, diabetes, and lipid management. Chronic pain patients requiring interventional options beyond oral medication and physical therapy are referred to The Pain Center San Diego for epidural, facet, and radiofrequency workups. The highest-complexity work in this panel is co-managing poorly controlled type 2 diabetes with concurrent hypertension and chronic kidney disease stage 3, where medication titration and lab surveillance run on a four-to-six week cadence.