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Search › Florida › 171M00000X

Shannon Depenza, CCM

NPI 1578391058 · on the registry since 2024 · sole proprietor

Practice

Address
2080 Child St
Jacksonville, FL 32214
Phone
(904) 542-9947
Fax
(888) 410-0935
Organisation at this address
Nh Jax
Nh Jacksonville
Nh Jacksonville
United States Navy
The Chesapeake Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
430

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-07-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida