Keegan, Shannon Mallory

Keegan, Shannon Mallory is an individual health care provider with primary practice located at 519 N Dixie Fwy , New Smyrna Beach FL 32168-6707. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Keegan, Shannon Mallory can be contacted via phone (407) 299-7333.

Contact Information

Primary practice address
519 N Dixie Fwy New Smyrna Beach FL 32168-6707
Phone: (407) 299-7333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 11016157 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11016157 Florida

Profile Details

NPI number 1427719657
LBN Legal business name Keegan, Shannon Mallory
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2022
Last updated Jul 23rd, 2025 - about last year

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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