KELLY SHANNON PARADISE

LAKE CITY, FL
NPI1407116544
Former NameSHANNON P STARLING
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  ARNP9191569)
Enumeration Date2012-05-23
Last Update Date2012-07-10
Business Address
-- KELLY SHANNON PARADISE ARNP
2806 W US HIGHWAY 90 SUITE 102
LAKE CITY, FL 32055-4745
Phone number: 386-438-8391
Mailing Address
-- KELLY SHANNON PARADISE ARNP
2806 W US HIGHWAY 90 SUITE 102
LAKE CITY, FL 32055-4745
Phone number: 386-438-8391