Individual
SHANNON BRYANT HORNSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-APRN
Contact information
Practice address
1150 N 35TH AVE STE 440, HOLLYWOOD, FL 33021-5430
(954) 265-6356
(954) 985-5154
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP9352328
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020121200
—
FL
Enumeration date
02/16/2017
Last updated
03/19/2021
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