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Shawntell World

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1937 Jenks Ave, Panama City, FL 32405-4510

PECOS Enrollment

Based on the most recent information from CMS, provider Shawntell World is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1659786283
Provider Type
Individual
Full Name
World, Shawntell
Title
Mrs.
Credential
NP-C (NURSE PRACT)

Gender
Female
Sole Proprietor
No
Enumeration Date
6/23/2014
Last Updated
6/3/2019

Contact Information

Practice Location

1937 Jenks Ave, Panama City, FL 32405-4510

(850) 640-0081

Unlisted Fax

Mailing Location

1213 Eisenhower Cir, Lynn Haven, FL 32444-3319

(850) 630-9199

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License ARNP9174593 Florida

Shawntell World

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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