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Mrs. Shannon Lorraine Milam, ARNP-BC
Gerontology Nurse Practitioner in Jupiter, Florida
NPI 1447633763

Shannon Lorraine Milam is a Gerontology Nurse Practitioner based in Miami, FL and is specialized in Gerontology. Shannon Lorraine Milam practices in Jupiter, FL and has the professional credentials of ARNP-BC. The NPI Number for Shannon Lorraine Milam is 1447633763 and holds a License No. ARNP9278663 (Florida).

The current practice location address for Shannon Lorraine Milam is 601 University Blvd Ste 204, Jupiter, FL and can be reached out via phone at 561-564-0665.

Location: 601 University Blvd Ste 204, Jupiter, FL, 33126-2051
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447633763
Provider Name
Shannon Lorraine Milam
Credential
ARNP-BC
Provider Entity Type
Individual
Gender
Female
Address
601 University Blvd Ste 204, Jupiter, FL, 33126-2051
Phone Number
561-564-0665
Fax Number
Provider Enumeration Date
07/06/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
IM409Z 01 FL MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
601 University Blvd Ste 204
City
Jupiter
State
Florida
Zip
33458-2788
Phone Number
561-564-0665
Fax Number
person
Provider Business Mailing Address Details
Address
601 University Blvd Ste 204
City
Jupiter
State
Florida
Zip
33458-2788
Phone Number
561-564-0665
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
APRN9278663 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
ARNP9278663 (Florida)
Definition
Definition to come...
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