SHANNON MACK

MIAMI, FL
NPI1194113936
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: FL  APRN9304496)
Additional Taxonomies363LA2100X Nurse Practitioner, Acute Care
(Licence: FL  ARNP9304496)
Enumeration Date2015-01-01
Last Update Date2024-06-20
Business Address
Ms. SHANNON MACK ARNP
1611 NW 12TH AVE
MIAMI, FL 33136-1096
Phone number: 305-585-8508
Mailing Address
Ms. SHANNON MACK ARNP
6006 NW 78TH TER
TAMARAC, FL 33321-4648
Phone number: 954-849-8424