Green, Shanna

Green, Shanna is an sole proprietor health care provider with primary practice located at 4241 Nw American Ln , Lake City FL 32055-5876. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Green, Shanna can be contacted via phone (386) 288-5311.

Contact Information

Primary practice address
4241 Nw American Ln Lake City FL 32055-5876
Phone: (386) 288-5311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11035937 Florida

Profile Details

NPI number 1235976879
LBN Legal business name Green, Shanna
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2024
Last updated Oct 31st, 2024 - about 2 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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