Individual
JEANEE SHRADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7040 LAKE ELLENOR DR, ORLANDO, FL 32809-5750
(407) 858-6143
Mailing address
7040 LAKE ELLENOR DR, ORLANDO, FL 32809-5750
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
2968442
FL
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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