| Doctor Name: | SHANNON KATHLEEN BURNS |
| NPI Number: | 1003258898 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | ARNP9296168 |
| Business Practice Address: | 580 W 8th St Ufjax - Dept. Of Neurology Jacksonville, FL - 322096533 |
| Business Phone Number: | 9042447008 |
| Business Fax Number: | 9042449789 |
| Mailing Address: | Po Box 44008, Ufjp - Provider Enrollment JACKSONVILLE |
| State: | FL |
| Postal Code: | 322314008 |
| Phone Number: | 9042443199 |
| Fax Number: | 9042443425 |
| NPI Enumeration Date: | 07/23/2013 |
| NPI Last Update Date: | 04/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | ARNP9296168 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |