Most Relevant Information
Provider Data
| NPI Number: | 1003258898 |
| Provider Name: | SHANNON KATHLEEN BURNS ARNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2200X |
| Specialty: | Nurse Practitioner |
| License Number: | ARNP9296168 |
Most Important Dates
| Enumeration Date: | 07/23/2013 |
| Last Updated: | 01/23/2023 |
Provider Practice Location
4500 SAN PABLO RD S
JACKSONVILLE
FL
322241865
Practice Location Phone/Fax
| Phone: | 9049532000 |
| Fax: |
Provider Mailing Location
4500 SAN PABLO RD S
JACKSONVILLE
FL
322241865
Provider Mailing Phone/Fax
| Phone: | 9049532000 |
| Fax: |