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Kassie Crews Shoup
Family Nurse Practitioner in Macclenny, Florida
NPI 1578028478

Kassie Crews Shoup is a Family Nurse Practitioner based in Macclenny, FL and is specialized in Family. Kassie Crews Shoup practices in Macclenny, FL. The NPI Number for Kassie Crews Shoup is 1578028478 and holds a License No. APRN11001429 (Florida).

The current practice location address for Kassie Crews Shoup is 725 S 6Th St, Macclenny, FL and can be reached out via phone at 904-259-3150.

Location: 725 S 6Th St, Macclenny, FL, 32063-1802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578028478
Provider Name
Kassie Crews Shoup
Credential
Provider Entity Type
Individual
Gender
Female
Address
725 S 6Th St, Macclenny, FL, 32063-1802
Phone Number
904-259-3150
Fax Number
Provider Enumeration Date
02/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
725 S 6Th St
City
Macclenny
State
Florida
Zip
32063-9653
Phone Number
904-259-3150
Fax Number
person
Provider Business Mailing Address Details
Address
725 S 6Th St
City
Macclenny
State
Florida
Zip
32063-9653
Phone Number
904-259-3150
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
APRN11001429 (Florida)
Definition
Definition to come...
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