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Shantrell Nicole Cobb
Homemaker in Jacksonville, Florida
NPI 1932864550

Shantrell Nicole Cobb is a Homemaker based in Jacksonville, FL. Shantrell Nicole Cobb practices in Jacksonville, FL. The NPI Number for Shantrell Nicole Cobb is 1932864550 and holds a License No. 238101 (Florida).

The current practice location address for Shantrell Nicole Cobb is 623 Long Branch Blvd, Jacksonville, FL and can be reached out via phone at 904-571-7843.

Location: 623 Long Branch Blvd, Jacksonville, FL, 32206-6252
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932864550
Provider Name
Shantrell Nicole Cobb
Credential
Provider Entity Type
Individual
Gender
Female
Address
623 Long Branch Blvd, Jacksonville, FL, 32206-6252
Phone Number
904-571-7843
Fax Number
Provider Enumeration Date
11/08/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1932864550 05 FL
institution
Provider Business Practice Location Address Details
Address
623 Long Branch Blvd
City
Jacksonville
State
Florida
Zip
32206-6252
Phone Number
904-571-7843
Fax Number
person
Provider Business Mailing Address Details
Address
623 Long Branch Blvd
City
Jacksonville
State
Florida
Zip
32206-6252
Phone Number
904-571-7843
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
238101 (Florida)
Definition
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.
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