Doctor Name: | MRS. CHRISTINA SHELTON |
NPI Number: | 1083004022 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | F.N.P. |
License Number: | R88820 |
Business Practice Address: | 1151 County Road 197 Blue Springs, MS - 388289142 |
Business Phone Number: | 6625389992 |
Business Fax Number: | |
Mailing Address: | 1151 County Road 197, BLUE SPRINGS |
State: | MS |
Postal Code: | 388289142 |
Phone Number: | 6625389992 |
Fax Number: | 6625389992 |
NPI Enumeration Date: | 01/29/2015 |
NPI Last Update Date: | 01/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R88820 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |