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1750989356
SHANNON ROSE ELLIS
CASSELBERRY, FL
NPI
1750989356
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11009709)
Enumeration Date
2020-10-15
Last Update Date
2020-10-15
Business Address
Mrs. SHANNON ROSE ELLIS RN, MSN, FNP-C
1460 FAIRWAY OAKS DR
CASSELBERRY, FL 32707-5140
Phone number: 407-413-2866
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Mailing Address
Mrs. SHANNON ROSE ELLIS RN, MSN, FNP-C
1460 FAIRWAY OAKS DR
CASSELBERRY, FL 32707-5140
Phone number: 407-413-2866
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