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Individual

MRS. SHANNON JAMES WORTHY

Active
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Individual

MRS. SHANNON JAMES WORTHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN916975
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
023007800
FL
01
IE402Y
MEDICARE
FL
Enumeration date
05/08/2014
Last updated
02/25/2020
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