Individual
SHAWNIKKA GUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6859 LENOX AVE STE 18, JACKSONVILLE, FL 32205-6149
(843) 939-0652
Mailing address
6859 LENOX AVE STE 18, JACKSONVILLE, FL 32205-6149
(843) 939-0652
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9392236
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174937122
—
SC
Enumeration date
06/18/2014
Last updated
03/01/2021
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