Phelon, Shonda Jacqueline
Phelon, Shonda Jacqueline is an individual health care provider with primary practice located at 1970 Grandview Dr , Grenada MS 38901-5066. She recently has 2 registered licenses in different health care specialties including 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. Phelon, Shonda Jacqueline can be contacted via phone (662) 227-3700.Contact Information
Primary practice address
1970 Grandview Dr
Grenada MS 38901-5066
Phone: (662) 227-3700
Fax: (662) 227-3740
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R734347 | Mississippi |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | R734347 | Mississippi |
Profile Details
NPI number | 1194947754 |
---|---|
LBN Legal business name | Phelon, Shonda Jacqueline |
Credentials | C.F.N.P.; P.M.H.N.P |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 3rd, 2007 |
Last updated | Feb 2nd, 2010 - about 14 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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