Fern, Shelly
Fern, Shelly is an individual health care provider with primary practice located at 5 Kish Hospital Dr Ste 203 , Dekalb IL 60115-9602. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Fern, Shelly can be contacted via phone (815) 748-6071.Contact Information
Primary practice address
5 Kish Hospital Dr Ste 203
Dekalb IL 60115-9602
Phone: (815) 748-6071
Fax: (630) 938-2679
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209022615 | Illinois |
Profile Details
NPI number | 1669060091 |
---|---|
LBN Legal business name | Fern, Shelly |
Credentials | APRN, CNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 31st, 2020 |
Last updated | Apr 11th, 2024 - about last year |
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.
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