Shelley, Deborah Lynn

Shelley, Deborah Lynn is an individual health care provider with primary practice located at 101 E Wood St , Spartanburg SC 29303-3040. 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 / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Shelley, Deborah Lynn can be contacted via phone (864) 560-6012.

Contact Information

Primary practice address
101 E Wood St Spartanburg SC 29303-3040
Phone: (864) 560-6012
Fax: (864) 560-6013
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 600139 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 600139 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 1978 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1978 South Carolina

Profile Details

NPI number 1518930734
LBN Legal business name Shelley, Deborah Lynn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Feb 6th, 2018 - about 6 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 1518930734 NPPES
North Carolina MEDICAID 1518930734
North Carolina MEDICAID NP0978

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