JENNIFER MICHELLE SHIVELY N.P. NPI 1003165267

NPI Information

NPI: 1003165267
Provider Name: JENNIFER MICHELLE SHIVELY, N.P.
Classification: Nurse Practitioner - 363LP0222X
Entity Type: Individual

Specialization: Pediatrics, Critical Care

Address:
455 S MAIN ST
ORANGE, CA
ZIP 92868
Phone: (714) 204-3277
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Jennifer Michelle Shively, N.P. is a pediatrics and critical care nurse practitioner in Orange, CA. Jennifer Michelle Shively, N.P. NPI is 1003165267. 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:

455 S MAIN ST
ORANGE, CA
ZIP 92868-835
Phone: (714) 204-3277

The enumeration date for this NPI number is 9/4/2012 and was last updated on 9/4/2012.

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	363LP0222X	Nurse Practitioner	Pediatrics, Critical Care	20141	CALIFORNIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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