Stephanie Shoults
Stephanie Shoults is a Physician Assistant in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2018.
- Licensed in
- FL
- In the registry since
- 2018
Practice location Address checks out
820 Prudential Dr Ste 713Jacksonville, FL 32207-8209
Phone: (904) 396-5682
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA9111528 (FL) |
|---|
Record details
| NPI number | 1639650211 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 22, 2018 |
| Last updated in NPPES | December 22, 2018 |
| Mailing address | 109 25th Ave S, Jacksonville Beach, FL 32250-6131 |
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