Keegan, Shannon Mallory

Keegan, Shannon Mallory is an individual health care provider with primary practice located at 519 N Dixie Fwy , New Smyrna Beach FL 32168-6707. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Keegan, Shannon Mallory can be contacted via phone (407) 299-7333.

Contact Information

Primary practice address
519 N Dixie Fwy New Smyrna Beach FL 32168-6707
Phone: (407) 299-7333
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 11016157 Florida

Profile Details

NPI number 1427719657
LBN Legal business name Keegan, Shannon Mallory
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2022
Last updated Aug 1st, 2022 - about 3 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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