Doctor Name: | MRS. TERESA L. SHIFLETT |
NPI Number: | 1083973952 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PMHNP |
License Number: | 0024170048 |
Business Practice Address: | 619 Miller Farm Rd. Staunton, VA - 24401 |
Business Phone Number: | 5402943933 |
Business Fax Number: | |
Mailing Address: | 619 Miller Farm Rd., STAUNTON |
State: | VA |
Postal Code: | 24401 |
Phone Number: | 5402943933 |
Fax Number: | |
NPI Enumeration Date: | 05/11/2012 |
NPI Last Update Date: | 05/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 0024170048 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |