Coyle, Shannon

Coyle, Shannon is an individual health care provider with primary practice located at 121 W Macclenny Ave , Macclenny FL 32063-2029. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Coyle, Shannon can be contacted via phone (904) 259-6380.

Contact Information

Primary practice address
121 W Macclenny Ave Macclenny FL 32063-2029
Phone: (904) 259-6380
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9248323 Florida

Profile Details

NPI number 1619222684
LBN Legal business name Coyle, Shannon
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2012
Last updated Feb 2nd, 2021 - about 4 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 1619222684 NPPES
Florida Other P01112815 RAILROAD MEDICARE - FL

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