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NPI Code Detail

MEDICARE: SHAWNELL MURPHY

MEDICARE: SHAWNELL MURPHY
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
1106S00000XBehavior TechnicianFL

General Provider Information

NPI Number : 1700717444
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAWNELL MURPHY
Provider Business Mailing Address
First Line : 7708 MERCHANTS WAY
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32222-2928
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12735 GRAN BAY PKWY W STE 204
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32258-4499
Country : US
Telephone Number : 904-506-4267
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2026
Last Update Date : 05/28/2026

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Directions to “ SHAWNELL MURPHY ” Practice Location

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