NPI 1003225970
Stanvonna Shootes
Practice location
- Address
- 435 Clark Rd Suite 107, Jacksonville, FL 32218-5596
- Phone
- (904) 765-0665
- Fax
- (904) 765-0664
- Mailing address
- 6535 Sunset Dr, Jacksonville, FL 32208-4637
Registered specialties
Mental Health Counselor
Primary
Registry record
- NPI
- 1003225970
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 5 Aug 2014
- Record last updated
- 5 Aug 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.