JILL SUZANNE SHELTON NPI 1871632455

NPI Information

NPI: 1871632455
Provider Name: JILL SUZANNE SHELTON
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1315 N TUSTIN ST # I-383
ORANGE, CA
ZIP 92867
Phone: (714) 547-3346
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Jill Suzanne Shelton is a family nurse practitioner in Orange, CA. Jill Suzanne Shelton NPI is 1871632455. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1315 N TUSTIN ST # I-383
ORANGE, CA
ZIP 92867-905
Phone: (714) 547-3346
Fax: (714) 547-3252

The enumeration date for this NPI number is 2/6/2007 and was last updated on 10/19/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	NP10567	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P07443	MEDICARE UPIN	CALIFORNIA
2	NP10567	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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