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Individual
MRS. SHANNON GROW
Active
Individual
MRS. SHANNON GROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2151012
FL
363LF0000X
Family Nurse Practitioner
Primary
11004142
FL
Other
Enumeration date
05/25/2006
Last updated
03/31/2026
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