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1881189140
JACOB EDWARD SHELLEY
PENSACOLA, FL
NPI
1881189140
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP9375373)
Enumeration Date
2018-06-28
Last Update Date
2020-04-27
Business Address
JACOB EDWARD SHELLEY ARNP
5153 N 9TH AVE STE 305
PENSACOLA, FL 32504-5719
Phone number: 850-416-6159
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Mailing Address
JACOB EDWARD SHELLEY ARNP
4205 BELFORT RD STE 4015
JACKSONVILLE, FL 32216-3623
Phone number: 904-450-6014
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