Patrick, Shannon F
Patrick, Shannon F is an individual health care provider with primary practice located at 1600 Sw Archer Rd #100296, Gainesville FL 32610-0371. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Patrick, Shannon F can be contacted via phone (352) 334-1390.Contact Information
Primary practice address
1600 Sw Archer Rd #100296
Gainesville FL 32610-0371
Phone: (352) 334-1390
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | ARNP1742512 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP1742512 | Florida |
Profile Details
| NPI number | 1407890304 |
|---|---|
| LBN Legal business name | Patrick, Shannon F |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Mar 6th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407890304 | NPPES |
| Florida | MEDICAID | 304540400 |
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