Gillon, Canisha Shanara

Gillon, Canisha Shanara is an individual health care provider with primary practice located at 330 Kay Larkin Dr , Palatka FL 32177-2307. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Gillon, Canisha Shanara can be contacted via phone (386) 329-3780.

Contact Information

Primary practice address
330 Kay Larkin Dr Palatka FL 32177-2307
Phone: (386) 329-3780
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X GAA-NP000536 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 9328108 Florida

Profile Details

NPI number 1063981892
LBN Legal business name Gillon, Canisha Shanara
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2018
Last updated Feb 13th, 2023 - 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.

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