Shields, Jaclyn

Shields, Jaclyn is an individual health care provider with primary practice located at 231 E Chestnut St , Louisville KY 40202-1821. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Shields, Jaclyn can be contacted via phone (502) 494-9521.

Contact Information

Primary practice address
231 E Chestnut St Louisville KY 40202-1821
Phone: (502) 494-9521
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 1138276 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4008949 Kentucky

Profile Details

NPI number 1013696798
LBN Legal business name Shields, Jaclyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2023
Last updated Jun 25th, 2024 - about last year

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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