Everts, Shelley Jane
Everts, Shelley Jane is an individual health care provider with primary practice located at 350 Pee Dee Ave Ste 101, Albemarle NC 28001-4932. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Everts, Shelley Jane can be contacted via phone (704) 986-1500.Contact Information
Primary practice address
350 Pee Dee Ave Ste 101
Albemarle NC 28001-4932
Phone: (704) 986-1500
Fax: (704) 983-3919
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 005002801 | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5002801 | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 5002801 | North Carolina |
Profile Details
NPI number | 1326253774 |
---|---|
LBN Legal business name | Everts, Shelley Jane |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 11th, 2007 |
Last updated | May 2nd, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326253774 | NPPES |
Other | 2592950 | MEDICARE PTAN | |
Other | 186Q2 | MEDICARE PTAN | |
Other | 2592950A | MEDICARE PTAN |
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