KASSIE CREWS SHOUP

MACCLENNY, FL
NPI1578028478
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  APRN11001429)
Enumeration Date2019-02-05
Last Update Date2019-02-25
Business Address
KASSIE CREWS SHOUP
725 S 6TH ST
MACCLENNY, FL 32063-9653
Phone number: 904-259-3150
Mailing Address
KASSIE CREWS SHOUP
11805 HUCKLEBERRY TRL E
MACCLENNY, FL 32063-1802
Phone number: 904-316-1254
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