Jenkins, Shelli A.

Jenkins, Shelli A. is an individual health care provider with primary practice located at 1818 Carew St Ste 260 , Fort Wayne IN 46805-4792. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Jenkins, Shelli A. can be contacted via phone (260) 373-9250.

Contact Information

Primary practice address
1818 Carew St Ste 260 Fort Wayne IN 46805-4792
Phone: (260) 373-9250
Fax: (260) 373-9262
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28099610 Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71000494A Indiana

Profile Details

NPI number 1174505432
LBN Legal business name Jenkins, Shelli A.
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Mar 7th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174505432 NPPES
Indiana MEDICAID 200375790
Indiana Other 000000376642

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