Individual ProviderShana Marks-HenryNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address123 Baptist Way, Pensacola, FL 32503-2254(850) 434-4011(770) 728-2611PECOS EnrollmentBased on the most recent information from CMS, provider Shana Marks-Henry is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:57 AM.Profile DetailsProvider ID1619755188Provider TypeIndividualFull NameMarks-Henry, ShanaGenderFemaleSole ProprietorNoEnumeration Date9/18/2023Last Updated9/18/2023Contact InformationPractice LocationPractice Address123 Baptist Way, Pensacola, FL 32503-2254Phone(850) 434-4011FaxUnlisted FaxMailing LocationMailing Address5332 Willow Oak Dr, Pace, FL 32571-6279Phone(770) 728-2611FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN11028475Florida