Adams, Shannon M.

Adams, Shannon M. is an individual health care provider with primary practice located at 14540 Old St. Augustine Road Suite 2391, Jacksonville FL 32258-7418. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Adams, Shannon M. can be contacted via phone (904) 262-3372.

Contact Information

Primary practice address
14540 Old St. Augustine Road Suite 2391 Jacksonville FL 32258-7418
Phone: (904) 262-3372
Fax: (904) 262-3306
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9106497 Florida

Profile Details

NPI number 1518233378
LBN Legal business name Adams, Shannon M.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2012
Last updated Jan 12th, 2015 - about 10 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 1518233378 NPPES
Florida Other PA9106497 LICENSE

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