Individual
MRS. CAMILE A SHAMBLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN FNP-C
Contact information
Practice address
2687 JENKS AVE, PANAMA CITY, FL 32405-4351
(850) 215-7920
(850) 848-9295
Mailing address
2687 JENKS AVE, PANAMA CITY, FL 32405-4351
(850) 215-7920
(850) 848-9295
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11011427
FL
363LF0000X
Family Nurse Practitioner
APRN11011427
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11011427
FLORIDA BOARD OF NURSING
FL
01
—
LGBN5
FLORIDA BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/03/2021
Last updated
09/06/2023
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