Individual provider · Type 1 NPI
Stephanie Shea Poulos, FNP-C
Family Nurse Practitioner · Jacksonville, FL
NPI number
1689232738
Active
Practice location
655 W 8th St
Jacksonville, FL 32209-6511
Mailing address
11652 Kennedy Ln
Jacksonville, FL 32223-8789
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APRN11002300 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1689232738
Stephanie Shea Poulos, FNP-C's National Provider Identifier is 1689232738, issued on Jun 4, 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 Jun 4, 2019.