Individual
JASON SHULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323-2865
(954) 475-1300
Mailing address
14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323-2865
(954) 475-1300
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9312520
FL
Other
Enumeration date
10/20/2016
Last updated
03/15/2021
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