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Shantell Jerido
NPI 1851109862 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1179 E 15th St
Jacksonville, FL 32206 - Phone
- (904) 662-6019
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 251C00000X
251C00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-12-26
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