Shields, Jessica

Shields, Jessica is an individual health care provider with primary practice located at 10901 World Trade Blvd , Raleigh NC 27617-4203. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Shields, Jessica can be contacted via phone (919) 746-8900.

Contact Information

Primary practice address
10901 World Trade Blvd Raleigh NC 27617-4203
Phone: (919) 746-8900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 5011409 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 5011409 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5011409 North Carolina

Profile Details

NPI number 1104382639
LBN Legal business name Shields, Jessica
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2019
Last updated Jan 28th, 2022 - about 2 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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