Individual provider · Type 1 NPI
Micaela Rae Shannon
Family Nurse Practitioner · Jacksonville, FL
NPI number
1023654647
Active
Practice location
7016 Normandy Blvd
Jacksonville, FL 32205-6206
Fax (904) 420-6101
Mailing address
2675 Winkler Ave Fl 2
Fort Myers, FL 33901-9342
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | APRN11015772 (FL) |
| Emergency Registered Nurse | 163WE0003X | RN9469517 (FL) |
| Family Nurse Practitioner Primary | 363LF0000X | APRN11015772 (FL) |
Family Nurse Practitioner: Definition to come...
4 other providers at this address
- West Jax Primary Care, P.a.Family Medicine Physician Jacksonville, FL NPI 1124134051
- Gerald Giurato, MDFamily Medicine Physician Jacksonville, FL NPI 1205837028
- Michael V. Sharpe, MDFamily Medicine Physician Jacksonville, FL NPI 1750382669
- Timothy David Sharpe, PAPhysician Assistant Jacksonville, FL NPI 1578898524
Other family nurse practitioner providers in Jacksonville
- Jeffrey Ludan Vongjesda, M.S., APRN, FNP-CFamily Nurse Practitioner Jacksonville, FL NPI 1003286824
- Amy Jenkins, APRNFamily Nurse Practitioner Jacksonville, FL NPI 1003364209
- Becky Hale, FNP-CFamily Nurse Practitioner Jacksonville, FL NPI 1003390022
- Sarah J. Gomez, APRNFamily Nurse Practitioner Jacksonville, FL NPI 1003425604
- Tiffany Nichole SchwartzFamily Nurse Practitioner Jacksonville, FL NPI 1003451311
- Gina A. Kelly-Vasquez, DNPFamily Nurse Practitioner Jacksonville, FL NPI 1003561747
- Margaret A. Francis, APRN, BCFamily Nurse Practitioner Jacksonville, FL NPI 1003988015
- Colleen K. Sutter, ARNPFamily Nurse Practitioner Jacksonville, FL NPI 1013054634
About NPI 1023654647
Micaela Rae Shannon's National Provider Identifier is 1023654647, issued on Nov 19, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 4, 2024.