MEDICARE: PAIGE SHADDEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH26313	FL

General Provider Information

NPI Number	:	1295410900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAIGE SHADDEN

Provider Business Mailing Address
First Line	:	4114 SUNBEAM RD STE 101
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32257-8870
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4114 SUNBEAM RD STE 101
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32257-8870
Country	:	US
Telephone Number	:	904-595-7314
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2023
Last Update Date	:	08/15/2025

Similar Medicare Providers

1215824206 — KAYLA WILLIAMS APRN-PMHNP
Practice Location Address:

4114 SUNBEAM RD STE 101
JACKSONVILLE, FL
32257-8870

Practice Phone: 904-290-6199
Practice Fax:

1194033043 — PEOPLES MEDICAL CENTERS PRIMARY CARE INC
Practice Location Address:

4114 SUNBEAM RD STE 102
JACKSONVILLE, FL
32257-8870

Practice Phone: 904-262-9444
Practice Fax: 904-262-3750

1114300050 — COURTNEY JENKINS
Practice Location Address:

4114 SUNBEAM RD STE 300
JACKSONVILLE, FL
32257-8870

Practice Phone: 904-962-8151
Practice Fax:

1689550634 — BRIANNA JOHNSON M.S.
Practice Location Address:

4114 SUNBEAM RD STE 101
JACKSONVILLE, FL
32257-8870

Practice Phone: 904-337-9356
Practice Fax:

1619843745 — ERIN REILLY MS, RMHCI
Practice Location Address:

4114 SUNBEAM RD STE 101
JACKSONVILLE, FL
32257-8870

Practice Phone: 407-594-7511
Practice Fax:

1932051505 — GRETA MARIA ABRAHAM MSW
Practice Location Address:

3410 KORI RD
JACKSONVILLE, FL
32257-5454

Practice Phone: 904-704-2527
Practice Fax:

Directions to “ PAIGE SHADDEN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.