Individual
SHATURA ROWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-0411
Mailing address
5847 LONG COVE DR, JACKSONVILLE, FL 32222-1371
(352) 213-1718
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9305135
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9305135
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003175002A
—
GA
05
—
016448900
—
FL
Enumeration date
12/03/2015
Last updated
06/15/2016
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