Shelburne, Candi Denise

Shelburne, Candi Denise is an individual health care provider with primary practice located at 853 Jefferson Ave # E206 , Memphis TN 38103-2804. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Shelburne, Candi Denise can be contacted via phone (901) 448-6728.

Contact Information

Primary practice address
853 Jefferson Ave # E206 Memphis TN 38103-2804
Phone: (901) 448-6728
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 25868 Tennessee

Profile Details

NPI number 1881251312
LBN Legal business name Shelburne, Candi Denise
Credentials NNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2019
Last updated May 21st, 2019 - about 5 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 1881251312 NPPES
Tennessee MEDICAID 25868

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