Individual provider · Type 1 NPI

Eddy Shane Thomas, ARNP

Nurse Practitioner · St. Augustine, FL

NPI number 1609326537 Active

Practice location

300 Health Park Blvd Ste 4000
St. Augustine, FL 32086-3704

Fax (904) 824-8933

Mailing address

PO Box 100225
Gainesville, FL 32610-0225

Other practice locations

  • 1600 SW Archer Rd, Gainesville, FL 32610-3003 · (352) 273-8737
  • 600 E Dixie Ave, Leesburg, FL 34748-5925 · (352) 323-5762

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAPRN9237428 (FL)
Nurse Practitioner Primary 363L00000XAPRN9237428 (FL)

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…

3 other providers at this address

Other nurse practitioner providers in St. Augustine

See all in St. Augustine →

About NPI 1609326537

Eddy Shane Thomas, ARNP's National Provider Identifier is 1609326537, issued on Oct 4, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Augustine, FL. The record was last updated on Jul 27, 2026.