Individual
SHANNON FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1370 13TH AVE S, STE 216, JACKSONVILLE BEACH, FL 32250-3230
(904) 246-8480
(904) 246-8578
Mailing address
1370 13TH AVE S, STE 216, JACKSONVILLE BEACH, FL 32250-3230
(904) 246-8480
(904) 246-8578
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP3253072
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27131870
—
FL
Enumeration date
08/24/2006
Last updated
01/06/2011
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