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STEPHANIE SHOULTS
NPI 1639650211
Physician Assistant in Jacksonville, FL

Active since August 22, 2018
820 PRUDENTIAL DR STE 713, JACKSONVILLE, FL 32207(904) 396-5682 Get Directions Write a Review

NPPES record last updated: December 22, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 22, 2018, Aug 22, 2018 (2 updates tracked since 2018).

About Stephanie Shoults NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE SHOULTS (NPI 1639650211) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA9111528) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1639650211
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSTEPHANIE SHOULTS
Location Address820 PRUDENTIAL DR STE 713Jacksonville, FL 32207-8209
Mailing Address109 25th Ave SJacksonville Beach, FL 32250-6131
Phone(904) 396-5682
Sole ProprietorNo
Enumeration DateAugust 22, 2018
Last NPPES UpdateDecember 22, 20182 updates tracked since enumeration
✔ NPI 1639650211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9111528
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
820 PRUDENTIAL DR STE 713, Jacksonville, FL 32207
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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE AGELY MD
Emergency Medicine
820 PRUDENTIAL DR STE 713
JACKSONVILLE, FL 32207
Duval County (904) 396-5682
APRIL DAWN CLAY FNP-C
Nurse Practitioner
820 PRUDENTIAL DR STE 713
JACKSONVILLE, FL 32207
Duval County (904) 396-5682
MS. SABRINA M DRENCHKO FNP-C
Nurse Practitioner (Family)
820 PRUDENTIAL DR STE 713
JACKSONVILLE, FL 32207
Duval County (904) 396-8673
HEIDI NEAL KENNEY MD
Emergency Medicine
820 PRUDENTIAL DR STE 713
JACKSONVILLE, FL 32207
Duval County (800) 936-5996
DR. TONIA BROUSSEAU DO
Pediatrics (Pediatric Emergency Medicine)
820 PRUDENTIAL DR STE 713, EMERGENCY RESOURCES GROUP
JACKSONVILLE, FL 32207
Duval County (904) 396-5682
DR. ZACHARY WILKERSON D.O.
Emergency Medicine
820 PRUDENTIAL DR STE 713
JACKSONVILLE, FL 32207
Duval County (904) 396-5682
VALERIE A WARNE MD
Emergency Medicine
820 PRUDENTIAL DR STE 713
JACKSONVILLE, FL 32207
Duval County (904) 396-5682
DR. KYLIE WAINER
Emergency Medicine
820 PRUDENTIAL DR STE 713
JACKSONVILLE, FL 32207
Duval County (800) 936-5996

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Shoults's NPI number?

The NPI number for Stephanie Shoults is 1639650211. It was assigned to this individual provider in the NPPES registry on August 22, 2018.

Where is Stephanie Shoults located?

Stephanie Shoults practices at 820 Prudential Dr Ste 713, Jacksonville, FL 32207. The listed phone number is (904) 396-5682.

What is Stephanie Shoults's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Stephanie Shoults was last updated on December 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.