Frazier, Shannon

Frazier, Shannon is an individual health care provider with primary practice located at 1370 13Th Ave S Ste 216, Jacksonville Beach FL 32250-3230. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Frazier, Shannon can be contacted via phone (904) 246-8480.

Contact Information

Primary practice address
1370 13Th Ave S Ste 216 Jacksonville Beach FL 32250-3230
Phone: (904) 246-8480
Fax: (904) 246-8578
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP3253072 Florida

Profile Details

NPI number 1558478412
LBN Legal business name Frazier, Shannon
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Jan 6th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558478412 NPPES
Florida MEDICAID 27131870

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