Groleau, Shannon Nichole

Groleau, Shannon Nichole is an individual health care provider with primary practice located at 1325 San Marco Blvd Ste 4A, Jacksonville FL 32207-8568. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Groleau, Shannon Nichole can be contacted via phone (904) 306-9860.

Contact Information

Primary practice address
1325 San Marco Blvd Ste 4A Jacksonville FL 32207-8568
Phone: (904) 306-9860
Fax: (904) 306-9864
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical 364SM0705X ARNP9207713 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP9207713 Florida

Profile Details

NPI number 1023254299
LBN Legal business name Groleau, Shannon Nichole
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2008
Last updated Jun 12th, 2020 - 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 1023254299 NPPES
Florida MEDICAID ARNP9207713

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