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Kelly Shannon Paradise, ARNP
Family Nurse Practitioner in Lake City, Florida
NPI 1407116544

Kelly Shannon Paradise is a Family Nurse Practitioner based in Lake City, FL and is specialized in Family. Kelly Shannon Paradise practices in Lake City, FL and has the professional credentials of ARNP. The NPI Number for Kelly Shannon Paradise is 1407116544 and holds a License No. ARNP9191569 (Florida).

The current practice location address for Kelly Shannon Paradise is 2806 W Us Highway 90, Lake City, FL and can be reached out via phone at 386-438-8391 and via fax at 386-438-8629.

Location: 2806 W Us Highway 90, Lake City, FL, 32055-4745
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407116544
Provider Name
Kelly Shannon Paradise
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
2806 W Us Highway 90, Lake City, FL, 32055-4745
Phone Number
386-438-8391
Fax Number
386-438-8629
Provider Enumeration Date
05/23/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2806 W Us Highway 90
City
Lake City
State
Florida
Zip
32055-4745
Phone Number
386-438-8391
Fax Number
386-438-8629
person
Provider Business Mailing Address Details
Address
2806 W Us Highway 90
City
Lake City
State
Florida
Zip
32055-4745
Phone Number
386-438-8391
Fax Number
386-438-8629
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
ARNP9191569 (Florida)
Definition
Definition to come...
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