Shelby, Jill E

Shelby, Jill E is an individual health care provider with primary practice located at 2600 Ferry St , Lafayette IN 47904-3055. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Shelby, Jill E can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
2600 Ferry St Lafayette IN 47904-3055
Phone: (765) 448-8000
Fax: (765) 446-7029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71002060 Indiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 71002060A Indiana

Profile Details

NPI number 1467482570
LBN Legal business name Shelby, Jill E
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Nov 15th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467482570 NPPES
Indiana MEDICAID 200860380
Indiana Other 000000897835

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