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Individual
MRS. SHANNON CRAGIN
Active
Individual
MRS. SHANNON CRAGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11028274
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11028274
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120789800
—
FL
Enumeration date
09/13/2023
Last updated
02/07/2024
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