Shields, Penelope
Shields, Penelope is an individual health care provider with primary practice located at 1005 Health Center Dr Ste 102 , Mattoon IL 61938-4693. 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 / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Shields, Penelope can be contacted via phone (217) 258-4042.Contact Information
Primary practice address
1005 Health Center Dr Ste 102
Mattoon IL 61938-4693
Phone: (217) 258-4042
Fax: (217) 258-4053
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209012444 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 209-012444 | Illinois |
Profile Details
NPI number | 1033508478 |
---|---|
LBN Legal business name | Shields, Penelope |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 22nd, 2015 |
Last updated | Jan 28th, 2024 - about 10 months 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.
Popular Providers
-
Lujanac, John M.
107 Church Hill Rd , Sandy Hook CT 06482-1194 -
Griffitt, Alice Joyce
5815 Broadway Ave , Great Bend KS 67530-3123 -
Brashear, Janice L
510 Spring St , Jeffersonville IN 47130-3554 -
Sledge, Jennifer R
1005 Health Center Dr Ste 102 , Mattoon IL 61938-4637 -
Wright, Veronica N
1005 Health Center Dr Ste 102 , Mattoon IL 61938-4693 -
Burwell, Robyn R.
1719 Highway 183 , Phillipsburg KS 67661 -
Fischer, Emily Carol
4308 76Th Street Ne , Marysville WA 98270 -
Price, Lisa
1005 Health Center Dr Ste 102 , Mattoon IL 61938-4637