Individual
SHANNSKA SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
580 W 8TH ST FL II5, JACKSONVILLE, FL 32209-6533
(904) 244-9624
Mailing address
580 W 8TH ST FL II6, JACKSONVILLE, FL 32209-6533
(904) 244-9624
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11001620
FL
Other
Enumeration date
03/21/2019
Last updated
08/19/2022
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