Everts, Shelley Jane
Everts, Shelley Jane is an individual health care provider with primary practice located at 1401 Matthews Township Pkwy Ste 320 , Matthews NC 28105-5403. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Everts, Shelley Jane can be contacted via phone (704) 384-1261.Contact Information
Primary practice address
1401 Matthews Township Pkwy Ste 320
Matthews NC 28105-5403
Phone: (704) 384-1261
Fax: (704) 384-3145
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 005002801 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 5002801 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 5002801 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5002801 | North Carolina |
Profile Details
| NPI number | 1326253774 |
|---|---|
| LBN Legal business name | Everts, Shelley Jane |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2007 |
| Last updated | Oct 17th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326253774 | NPPES |
| Other | 2592950 | MEDICARE PTAN | |
| Other | 2592950A | MEDICARE PTAN | |
| Other | 186Q2 | MEDICARE PTAN |
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