Provider Demographics
NPI:1841669827
Name:KOHN, SHAWNYA (RN)
Entity type:Individual
Prefix:MS
First Name:SHAWNYA
Middle Name:
Last Name:KOHN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5584 FLERS CT
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32209-2410
Mailing Address - Country:US
Mailing Address - Phone:904-728-9071
Mailing Address - Fax:
Practice Address - Street 1:5584 FLERS CT
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32209-2410
Practice Address - Country:US
Practice Address - Phone:904-728-9071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-18
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9271930163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse