Individual
ASHLEY LYNN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8211
(904) 202-2000
Mailing address
2691 COLLEGE ST, JACKSONVILLE, FL 32204-3571
(904) 309-2217
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
FL
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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