Individual
SHANNON BOSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19225 US HIGHWAY 27, CLERMONT, FL 34715-9025
(352) 394-6146
Mailing address
720 PATACHES PL, GROVELAND, FL 34736-8047
(305) 834-6902
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11004710
FL
Other
Enumeration date
12/21/2019
Last updated
12/21/2019
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