Individual
JORDYN NICOLE SHOEMAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13470 PARKER COMMONS BLVD STE 101, FORT MYERS, FL 33912-1850
(239) 415-7576
Mailing address
12711 BUGGVILLE LN, DOVER, FL 33527-4873
(813) 635-6573
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9119636
FL
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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