Individual
SHANNON DECKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5540 107TH TER E, PARRISH, FL 34219-4530
(215) 620-0589
Mailing address
5540 107TH TER E, PARRISH, FL 34219-4530
(215) 620-0589
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9350517
FL
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/18/2013
Last updated
07/17/2019
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