Individual provider · Type 1 NPI

Jerry Shelby, NP

Nurse Practitioner · Plainfield, IL

NPI number 1194355685 Active

Practice location

24047 W Lockport St
Plainfield, IL 60544-2205

Call (815) 201-0573 Map

Fax (815) 513-6178

Mailing address

1860 Paysphere Cir
Chicago, IL 60674-0018

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	209020743 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

2 other providers at this address

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About NPI 1194355685

Jerry Shelby, NP's National Provider Identifier is 1194355685, issued on Jan 23, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Plainfield, IL. The record was last updated on Oct 1, 2025.