Jervis, Shellie Marie
Jervis, Shellie Marie is an sole proprietor health care provider with primary practice located at 1 Jarrett White Rd , Tripler Amc HI 96859-5001. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jervis, Shellie Marie can be contacted via phone (808) 433-6340.Contact Information
Primary practice address
1 Jarrett White Rd
Tripler Amc HI 96859-5001
Phone: (808) 433-6340
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 564 | Wyoming |
Profile Details
| NPI number | 1730433772 |
|---|---|
| LBN Legal business name | Jervis, Shellie Marie |
| Credentials | PSYD. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 29th, 2012 |
| Last updated | May 17th, 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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