Shelly, Jeanette
Shelly, Jeanette is an individual health care provider with primary practice located at 1200 N Main St Suite 650, Santa Ana CA 92701-3640. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Shelly, Jeanette can be contacted via phone (714) 824-8140.Contact Information
Primary practice address
1200 N Main St Suite 650
Santa Ana CA 92701-3640
Phone: (714) 824-8140
Fax: (714) 824-8141
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 177200; NP 8770 | California |
Profile Details
NPI number | 1740281765 |
---|---|
LBN Legal business name | Shelly, Jeanette |
Credentials | RN, MS, FNP, NP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 2nd, 2005 |
Last updated | Apr 19th, 2016 - about 9 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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