Individual
SHANISHA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1317 EDGEWATER DR STE 399, ORLANDO, FL 32804-6350
(813) 684-8000
(813) 946-9596
Mailing address
1317 EDGEWATER DR STE 399, ORLANDO, FL 32804-6350
(813) 684-8000
(813) 946-9596
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
9304179
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9304179
FL
Other
Enumeration date
03/09/2017
Last updated
07/19/2022
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