Cobb, Shantrell Nicole

Cobb, Shantrell Nicole is an individual health care provider with primary practice located at 623 Long Branch Blvd , Jacksonville FL 32206-6252. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Cobb, Shantrell Nicole can be contacted via phone (904) 571-7843.

Contact Information

Primary practice address
623 Long Branch Blvd Jacksonville FL 32206-6252
Phone: (904) 571-7843
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X 238101 Florida

Profile Details

NPI number 1932864550
LBN Legal business name Cobb, Shantrell Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2021
Last updated Jul 25th, 2022 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1932864550 NPPES
Florida MEDICAID 1932864550

Popular Providers