Mosely, Shelly Amanda
Mosely, Shelly Amanda is an individual health care provider with primary practice located at 2550 Se Walton Rd , Port St Lucie FL 34952-7168. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Mosely, Shelly Amanda can be contacted via phone (772) 335-0400.Contact Information
Primary practice address
2550 Se Walton Rd
Port St Lucie FL 34952-7168
Phone: (772) 335-0400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 9218485 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 9218485 | Florida |
Profile Details
| NPI number | 1003219056 |
|---|---|
| LBN Legal business name | Mosely, Shelly Amanda |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2014 |
| Last updated | Feb 11th, 2022 - about 4 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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