| Doctor Name: | OMA L SHELTON |
| NPI Number: | 1083679104 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CFNP |
| License Number: | 080074 |
| Business Practice Address: | 2230 S Springfield Ave Suite H-j Bolivar, MO - 656139133 |
| Business Phone Number: | 4177774800 |
| Business Fax Number: | |
| Mailing Address: | P.o. Box 939, BOLIVAR |
| State: | MO |
| Postal Code: | 656130939 |
| Phone Number: | 4177774800 |
| Fax Number: | |
| NPI Enumeration Date: | 04/20/2006 |
| NPI Last Update Date: | 07/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 080074 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |