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Shannette M Ailes, NP-C
Psychiatric/Mental Health Nurse Practitioner in Arcadia, Florida
NPI 1740677210

Shannette M Ailes is a Psychiatric/Mental Health Nurse Practitioner based in Palmetto, FL and is specialized in Psychiatric/Mental Health. Shannette M Ailes practices in Arcadia, FL and has the professional credentials of NP-C. The NPI Number for Shannette M Ailes is 1740677210 and holds a License No. 71005432A (Florida).

The current practice location address for Shannette M Ailes is 725 N 12Th Ave Bldg B, Arcadia, FL and can be reached out via phone at 863-494-1242.

Location: 725 N 12Th Ave Bldg B, Arcadia, FL, 34221-4737
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740677210
Provider Name
Shannette M Ailes
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
725 N 12Th Ave Bldg B, Arcadia, FL, 34221-4737
Phone Number
863-494-1242
Fax Number
Provider Enumeration Date
04/22/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201286480 05 IN
000000938346 01 IN ANTHEM (REID PHYSICIAN ASSOCIATES, INC.)
0128143 05 OH
institution
Provider Business Practice Location Address Details
Address
725 N 12Th Ave Bldg B
City
Arcadia
State
Florida
Zip
34266-8752
Phone Number
863-494-1242
Fax Number
person
Provider Business Mailing Address Details
Address
725 N 12Th Ave Bldg B
City
Arcadia
State
Florida
Zip
34266-8752
Phone Number
863-494-1242
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
APRN11012677 (Florida)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
71005432A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
71005432A (Indiana)
Definition
Definition to come...
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