Individual
SHANNON LESLEE MCKAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-2000
Mailing address
356 SW MCKAIN CT, LAKE CITY, FL 32024-6706
(386) 623-6658
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9415017
FL
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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