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SHANNON TERRELL ARNP NPI 1891979456


NPI Information

NPI: 1891979456
Provider Name: SHANNON TERRELL, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC.

PECOS Registration: Yes

Address:
580 W 8TH ST
UFJAX - NEUROLOGY DEPT.
JACKSONVILLE, FL
ZIP 32209
Phone: (904) 244-9895
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Shannon Terrell, ARNP is a family nurse practitioner in Jacksonville, FL with 17 years of experience. Shannon Terrell, ARNP NPI is 1891979456. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

580 W 8TH ST
UFJAX - NEUROLOGY DEPT.
JACKSONVILLE, FL
ZIP 32209-533
Phone: (904) 244-9895

The NPI 1891979456 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/19/2007 and was last updated on 10/19/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyARNP2834582FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AH918MEDICARE PIN
2AH948XMEDICARE PINFLORIDA
3AH948YMEDICARE PINFLORIDA
4AH948WMEDICARE PINFLORIDA
5734465210AMEDICAIDGEORGIA
6AH948ZMEDICARE PINFLORIDA
70003640-00MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.