Patrick, Shannon F

Patrick, Shannon F is an individual health care provider with primary practice located at 1600 Sw Archer Rd #100296, Gainesville FL 32610-0371. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Patrick, Shannon F can be contacted via phone (352) 334-1390.

Contact Information

Primary practice address
1600 Sw Archer Rd #100296 Gainesville FL 32610-0371
Phone: (352) 334-1390
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP1742512 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP1742512 Florida

Profile Details

NPI number 1407890304
LBN Legal business name Patrick, Shannon F
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Mar 6th, 2017 - about 8 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 1407890304 NPPES
Florida MEDICAID 304540400

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