Shelby, Jerry

Shelby, Jerry is an individual health care provider with primary practice located at 301 Madison St , Joliet IL 60435-6549. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Shelby, Jerry can be contacted via phone (815) 740-1900.

Contact Information

Primary practice address
301 Madison St Joliet IL 60435-6549
Phone: (815) 740-1900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209020743 Illinois

Profile Details

NPI number 1194355685
LBN Legal business name Shelby, Jerry
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2020
Last updated Jan 30th, 2020 - about 4 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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