Shelton, Jaimie Leanne

Shelton, Jaimie Leanne is an individual health care provider with primary practice located at 245 Medical Park Dr Suite C, Marion VA 24354-1100. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Shelton, Jaimie Leanne can be contacted via phone (276) 378-3300.

Contact Information

Primary practice address
245 Medical Park Dr Suite C Marion VA 24354-1100
Phone: (276) 378-3300
Fax: (276) 378-1265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110-004707 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA0000002664 Tennessee

Profile Details

NPI number 1285022095
LBN Legal business name Shelton, Jaimie Leanne
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2014
Last updated Feb 27th, 2017 - about 8 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 1285022095 NPPES
Virginia MEDICAID 1285022095

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