Individual
SHANTEL DANIELLE MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8332 DELAWARE AVE, JACKSONVILLE, FL 32208-2727
(904) 428-4751
Mailing address
8332 DELAWARE AVE, JACKSONVILLE, FL 32208-2727
(904) 428-4751
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11040547
FL
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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