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Individual

MRS. SHANNON M HINCKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
5950 S FLORIDA AVE, LAKELAND, FL 33813-2532
(863) 619-8441
(863) 646-6579
Mailing address
5950 S FLORIDA AVE, LAKELAND, FL 33813-2532
(863) 619-8441
(863) 646-6579

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9269235
FL

Other

Enumeration date
10/05/2011
Last updated
03/17/2018
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