Individual
SHANNON GIBSON MCBRAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
301 MEMORIAL MEDICAL PKWY, DAYTONA BEACH, FL 32117-5167
(386) 231-6000
Mailing address
52 TUSCAN WAY STE 202-189, SAINT AUGUSTINE, FL 32092-1850
(954) 305-0110
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11026918
FL
363LG0600X
Gerontology Nurse Practitioner
APRN11026918
FL
Other
Enumeration date
06/22/2023
Last updated
08/27/2023
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