Individual
JENNIFER LYNN SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-7283
(407) 303-0347
Mailing address
2501 N ORANGE AVE STE 401, ORLANDO, FL 32804-4644
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
364129
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11002906
FL
Other
Enumeration date
07/17/2017
Last updated
04/20/2023
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