Jenkins, Shelby Miller

Jenkins, Shelby Miller is an individual health care provider with primary practice located at 950 N Avalon Way , Lecanto FL 34461-6004. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Jenkins, Shelby Miller can be contacted via phone (352) 746-2663.

Contact Information

Primary practice address
950 N Avalon Way Lecanto FL 34461-6004
Phone: (352) 746-2663
Fax: (352) 746-6907
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9109716 Florida

Profile Details

NPI number 1154878825
LBN Legal business name Jenkins, Shelby Miller
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2016
Last updated Feb 15th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154878825 NPPES
Florida Other PA9109716 STATE LICENSE

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