Provider Demographics
NPI:1255603817
Name:FOX, SHELLEY HANNAH (DNP, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:SHELLEY
Middle Name:HANNAH
Last Name:FOX
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:146 ORANGE PL
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-6531
Mailing Address - Country:US
Mailing Address - Phone:407-389-2020
Mailing Address - Fax:407-389-2021
Practice Address - Street 1:146 ORANGE PL
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-6531
Practice Address - Country:US
Practice Address - Phone:407-389-2020
Practice Address - Fax:407-389-2021
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-29
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY337096363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily