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Individual

MRS. SHANNON LEE OSBECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP

Contact information

Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(304) 542-7300
Mailing address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
ARNP 3283912
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003141014A
GA
05
010212900
FL
Enumeration date
07/31/2013
Last updated
12/04/2025
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