Individual
SHANNON BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
1130 HICKORY ST STE B, MELBOURNE, FL 32901-1973
(321) 752-0944
(321) 434-7590
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 752-0944
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11039454
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127439000
—
FL
01
—
VQ179
HFMG
FL
Enumeration date
08/30/2022
Last updated
04/10/2026
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