Individual
SHAYLA RAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
186 SOUTHERN OAK DR, PONTE VEDRA, FL 32081-8365
(641) 919-8889
Mailing address
16 PINDO PALM DR, PONTE VEDRA, FL 32081-6085
(641) 919-8889
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
131158
IA
363L00000X
Nurse Practitioner
GAA-NP005031
GA
363LW0102X
Women's Health Nurse Practitioner
Primary
F131158
IA
367A00000X
Advanced Practice Midwife
B131158
IA
Other
Enumeration date
11/14/2017
Last updated
05/07/2026
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