Shenelle Davis Paulson (NPI# 1083108500, PAC ID# 0345585329) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1083108500 |
| PAC ID by PECOS | 0345585329 |
| Professional Enrollment ID | I20181219001678 |
| Full Name | Shenelle Davis Paulson |
| Organization Legal Name | BORLAND-GROOVER CLINIC PA |
| Address |
3 Shircliff Way Suite 400 Jacksonville FL 32204-4780 |
| Phone Number | 9043819379 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6507761301 |
| Number of Group Practice Members | 76 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100134 | ED FRASER MEMORIAL HOSPITAL |
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| Address | Phone | Organization |
|---|---|---|
| 3 Shircliff Way, Suite 400, Jacksonville, FL 32204-4780 | 9043819379 | BORLAND-GROOVER CLINIC PA |
| Organization Legal Name | BORLAND-GROOVER CLINIC PA |
| Physicians | 83 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vrushak N Deshpande | Gastroenterology | Borland-groover Clinic Pa | 3635 S Clyde Morris Blvd, Suite 100, Port Orange, FL 32129-2349 |
| Bharat K Misra | Gastroenterology | Borland-groover Clinic Pa | 3627 University S Blvd, Suite 705, Jacksonville, FL 32216-7403 |
| Daniel A Scharifker | Pathology | Borland-groover Clinic Pa | 5150 Linton Blvd, Suite 250, Delray Beach, FL 33484-6528 |
| Robert M Aportela | Pathology | Borland-groover Clinic Pa | 836 Prudential Dr, Suite 801, Jacksonville, FL 32207-8335 |
| Michael Ibach | Gastroenterology | Borland-groover Clinic Pa | 836 Prudential Dr, Suite 801, Jacksonville, FL 32207-8335 |
| Grant T Whittaker | Gastroenterology | Borland-groover Clinic Pa | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| Nassim Youssef El Hajj | Gastroenterology | Borland-groover Clinic Pa | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| Jennifer F Marzoug | Nurse Practitioner | Borland-groover Clinic Pa | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| Jeffrey S Hoffman | Gastroenterology | Borland-groover Clinic Pa | 4800 Belfort Rd, Jacksonville, FL 32256-6004 |
| William F Foody | Gastroenterology | Borland-groover Clinic Pa | 100 Whetstone Pl, Suite 105, Saint Augustine, FL 32086-5775 |
| Street Address |
3 SHIRCLIFF WAY SUITE 400 |
| City | JACKSONVILLE |
| State | FL |
| Zip | 32204-4780 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carlos Mora | Neurology | St Vincent's Ambulatory Care Inc | 3 Shircliff Way, Dillion Building Suite 724, Jacksonville, FL 32204-4786 |
| Annette Laubscher | Family Medicine | Womens Care Florida LLC | 3 Shircliff Way, Suite 200, Jacksonville, FL 32204-4785 |
| Stephen E Kuehn | Gastroenterology | Borland-groover Clinic Pa | 3 Shircliff Way, Suite 400, Jacksonville, FL 32204-4780 |
| Patricia Jones | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 3 Shircliff Way, Dillion Building Suite 330, Jacksonville, FL 32204-4780 |
| Nitika Malhotra | Endocrinology | St Vincent's Ambulatory Care Inc | 3 Shircliff Way, Dillion Building Suite 601, Jacksonville, FL 32204-4776 |
| David Lynn Miller Jr. | Obstetrics/gynecology | Womens Care Florida LLC | 3 Shircliff Way, Suite 200, Jacksonville, FL 32204-4785 |
| Ali Moghani Lankarani | Gastroenterology | Borland-groover Clinic Pa | 3 Shircliff Way, Suite 400, Jacksonville, FL 32204-4780 |
| Joyce B Ravain | Emergency Medicine | 3 Shircliff Way, Suite 520, Jacksonville, FL 32204-4777 | |
| William H. Long | Obstetrics/gynecology | Womens Care Florida LLC | 3 Shircliff Way, Suite 200, Jacksonville, FL 32204-4785 |
| David R Chabolla | Neurology | St Vincent's Ambulatory Care Inc | 3 Shircliff Way, Dillion Building Suite 714, Jacksonville, FL 32204-4776 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine L Walsh | Physician Assistant | St Vincent's Ambulatory Care Inc | 425 N Lee St, Jacksonville, FL 32204-1128 |
| William M Mentz | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Elizabeth Lee Gatch | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Kayela Faye Moore | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Mitchell S Rothstein | Pulmonary Disease | 425 N Lee St, Suite 202, Jacksonville, FL 32204-1128 | |
| Eyad S Kawar | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Diana I Mercado | Infectious Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Jose M Soto Soto | Internal Medicine | St Vincent's Ambulatory Care Inc | 425 N Lee St, Jacksonville, FL 32204-1128 |
| Joseph P Orallo | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Kasey E Treger | Pulmonary Disease | St Vincent's Ambulatory Care Inc | 425 N Lee St, Suite 203, Jacksonville, FL 32204-1128 |
| Find all physicians in zip 32204 | |||
| City | JACKSONVILLE |
| Zip Code | 32204 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | JACKSONVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shenelle Davis Paulson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.