Micaela Rae Shannon is a family nurse practitioner in Jacksonville, FL with 3 years of experience. Micaela Rae Shannon NPI is 1023654647. 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:
7016 NORMANDY BLVD
JACKSONVILLE, FL
ZIP 32205-206
Phone: (904) 783-2405
Fax: (904) 420-6101
The NPI 1023654647 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 11/19/2019 and was last updated on 3/4/2024.