Individual provider · Type 1 NPI
Kiesha Shelton
Nurse Practitioner · Cleveland, TN
Practice location
2705 Pine Dr NE
Cleveland, TN 37312-5516
Mailing address
2525 Desales Ave
Chattanooga, TN 37404-1161
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 177516 (TN) |
| Nurse Practitioner Primary | 363L00000X | 33548 (TN) |
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…
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About NPI 1649976655
Kiesha Shelton's National Provider Identifier is 1649976655, issued on Feb 1, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Cleveland, TN. The record was last updated on Mar 30, 2023.