Individual provider · Type 1 NPI

Shannon Marie Keating, APRN

Nurse Practitioner · Mangonia Park, FL

NPI number 1447239215 Active

Practice location

901 45th St
Mangonia Park, FL 33407-2413

Mailing address

468 SW 15th Dr
Boca Raton, FL 33432-7220

Other practice locations

  • 3651 Wheeler Rd, Augusta, GA 30909-6521 · (706) 651-6105

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN9189449 (FL)
Acute Care Nurse Practitioner 363LA2100XNP-990109 (CO)
Acute Care Nurse Practitioner 363LA2100XGAA-NP001970 (GA)
Family Nurse Practitioner 363LF0000XGAA-NP001970 (GA)
Nurse Practitioner 363L00000XGAA-NP001970 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1447239215

Shannon Marie Keating, APRN's National Provider Identifier is 1447239215, issued on Jan 11, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mangonia Park, FL. The record was last updated on Jun 1, 2026.