Individual
SHANIQUE SOUFFRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-CNP, FNP-BC
Contact information
Practice address
300 THE FENWAY, BOSTON, MA 02115-5820
(617) 521-2000
Mailing address
300 THE FENWAY, BOSTON, MA 02115-5820
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11029239
FL
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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