Individual ProviderShianna PattonSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address333 1st St N, Suite 200, Jacksonville Beach, FL 32250-6945(866) 490-5038PECOS EnrollmentBased on the most recent information from CMS, provider Shianna Patton does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1083996391Provider TypeIndividualFull NamePatton, ShiannaGenderFemaleSole ProprietorYesEnumeration Date9/13/2011Last Updated9/13/2011Contact InformationPractice LocationPractice Address333 1st St N, Suite 200, Jacksonville Beach, FL 32250-6945Phone(866) 490-5038FaxUnlisted FaxMailing LocationMailing Address333 1st St N, Suite 200, Jacksonville Beach, FL 32250-6945PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense4719New Mexico