SHANE DEWAYNE GRINDLE
License Number: APRN11001741
Data As Of 6/3/2024
| Profession | Advanced Practice Registered Nurse | ||
|---|---|---|---|
| License | APRN11001741 | ||
| License Status | CLEAR/Active | ||
| Qualifications | Nurse Practitioner | Autonomous Practice APRN | Dispensing Practitioner |
| License Expiration Date | 7/31/2024 | ||
| License Original Issue Date | 03/06/2019 | ||
| Address of Record | 3636 University BLVD S | ||
| Suite A7 | |||
| JACKSONVILLE, FL 32216 | |||
| Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) | No | ||
| Discipline on File | No | ||
| Public Complaint | No |
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