Worthy, Shannon James

Worthy, Shannon James is an individual health care provider with primary practice located at 1350 Hickory St , Melbourne FL 32901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Worthy, Shannon James can be contacted via phone (321) 434-1771.

Contact Information

Primary practice address
1350 Hickory St Melbourne FL 32901
Phone: (321) 434-1771
Fax: (321) 434-1775
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN916975 Florida

Profile Details

NPI number 1790196087
LBN Legal business name Worthy, Shannon James
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2014
Last updated Feb 25th, 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 1790196087 NPPES
Florida Other IE402Y MEDICARE
Florida MEDICAID 023007800 MEDICARE

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