| Doctor Name: | SHANNON LORRAINE COLEMAN |
| NPI Number: | 1447633763 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP9278663 |
| Business Practice Address: | 1002 S Old Dixie Hwy Ste 201 Jupiter, FL - 334587202 |
| Business Phone Number: | 5617442200 |
| Business Fax Number: | |
| Mailing Address: | 10518 151st Ln N, JUPITER |
| State: | FL |
| Postal Code: | 334786874 |
| Phone Number: | 5617626651 |
| Fax Number: | |
| NPI Enumeration Date: | 07/06/2015 |
| NPI Last Update Date: | 07/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ARNP9278663 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |