Jackson, Shelli M

Jackson, Shelli M is an individual health care provider with primary practice located at 2602 Wilmington Rd Ste 200 , New Castle PA 16105-1538. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Jackson, Shelli M can be contacted via phone (724) 657-3204.

Contact Information

Primary practice address
2602 Wilmington Rd Ste 200 New Castle PA 16105-1538
Phone: (724) 657-3204
Fax: (724) 652-7144
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X SP012348 Pennsylvania

Profile Details

NPI number 1467798553
LBN Legal business name Jackson, Shelli M
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2012
Last updated Dec 18th, 2012 - about 14 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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