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SHANTRELL NICOLE COBB NPI 1932864550


NPI Information

NPI: 1932864550
Provider Name: SHANTRELL NICOLE COBB
Classification: Homemaker - 376J00000X
Entity Type: Individual
Address:
623 LONG BRANCH BLVD
JACKSONVILLE, FL
ZIP 32206
Phone: (904) 571-7843
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Shantrell Nicole Cobb is a homemaker in Jacksonville, FL. The provider is an individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. Shantrell Nicole Cobb NPI is 1932864550. 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:

623 LONG BRANCH BLVD
JACKSONVILLE, FL
ZIP 32206-252
Phone: (904) 571-7843

The enumeration date for this NPI number is 11/8/2021 and was last updated on 7/25/2022.


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
1376J00000XHomemaker238101FLORIDAYes

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
11932864550MEDICAIDFLORIDA

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: 4/28/2024

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.