Individual provider · Type 1 NPI
Shardai Nichole Shelton, FNP
Family Nurse Practitioner · Thomasboro, IL
NPI number
1720549124
Active
Practice location
301 N Lincoln St
Thomasboro, IL 61878-9683
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN-2667 (HI) |
| Family Nurse Practitioner Primary | 363LF0000X | 277.003116 (IL) |
Family Nurse Practitioner: Definition to come...
About NPI 1720549124
Shardai Nichole Shelton, FNP's National Provider Identifier is 1720549124, issued on Mar 28, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Thomasboro, IL. The record was last updated on Dec 5, 2024.