Provider Demographics
NPI:1427933746
Name:JN PAUL, SHANTA SHERRY
Entity type:Individual
Prefix:
First Name:SHANTA
Middle Name:SHERRY
Last Name:JN PAUL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6427 AZURA LAKE RD
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-9355
Mailing Address - Country:US
Mailing Address - Phone:561-567-4596
Mailing Address - Fax:
Practice Address - Street 1:6427 AZURA LAKE RD
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-9355
Practice Address - Country:US
Practice Address - Phone:561-567-4596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical