Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICAELA RAE SHANNON
Active Sole ProprietorMICAELA RAE SHANNON is a Family Nurse Practitioner healthcare provider located in JACKSONVILLE, Florida. NPI 1023654647 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1023654647
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 19, 2019 (6.7115316116344 yrs)
- Last Updated
- Mar 4, 2024
- Licenses
-
APRN11015772 (FL)RN9469517 (FL)APRN11015772 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7016 NORMANDY BLVDJACKSONVILLE, FL, 322056206Browse FL providers · Browse ZIP 32205
- Phone
- 9047832405
- Fax
- 9044206101
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Emergency Nurse
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| MELODY ALICE PEREZ | APRN | 1174526719 |
| ELLEN M. HUSON | ARNP, FNP | 1417953860 |
| MS. SANDRA L SMITH | APRN, FNP-BC | 1356342984 |
| MRS. MERNAMIE CASTARDO TAMAN | ARNP/NURSE PRACTITIO | 1710968912 |
| KENA C MILLER | ARNP | 1942283247 |
| MRS. SYLVIA PATRICIA RATLIFF | NP-C | 1043293152 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.