Milam, Shannon Lorraine

Milam, Shannon Lorraine is an individual health care provider with primary practice located at 601 University Blvd Ste 204 , Jupiter FL 33458-2788. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Milam, Shannon Lorraine can be contacted via phone (561) 564-0665.

Contact Information

Primary practice address
601 University Blvd Ste 204 Jupiter FL 33458-2788
Phone: (561) 564-0665
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ARNP9278663 Florida
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN9278663 Florida

Profile Details

NPI number 1447633763
LBN Legal business name Milam, Shannon Lorraine
Credentials ARNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2015
Last updated Jan 19th, 2024 - about 11 months 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 1447633763 NPPES
Florida Other IM409Z MEDICARE PTAN

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