JASON SHULL ARNP NPI 1396296729

NPI Information

  • NPI: 1396296729
  • Provider Name: JASON SHULL, ARNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 14050 NW 14TH ST
    SUITE 190
    SUNRISE, FL
    ZIP 33323
  • Phone: (954) 475-1300

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NPI Details

Jason Shull, ARNP is a pediatrics nurse practitioner in Sunrise, FL. Jason Shull, ARNP NPI is 1396296729. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14050 NW 14TH ST
SUITE 190
SUNRISE, FL
ZIP 33323-865
Phone: (954) 475-1300

The NPI 1396296729 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 10/20/2016 and was last updated on 3/15/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatricsARNP9312520FLORIDAYes

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: 11/21/2025

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