Individual provider · Type 1 NPI
Shelton M. Hisley, OB GYN NP
Obstetrics & Gynecology Nurse Practitioner · Bolivia, NC
NPI number
1891829008
Active
Practice location
25 Courthouse Dr. NE
Bolivia, NC 28422
Fax (910) 253-2370
Mailing address
4336 Loblolly Cir SE
Southport, NC 28461-8491
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | 051074 (NC) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
3 other providers at this address
Other obstetrics & gynecology nurse practitioner providers in Bolivia
About NPI 1891829008
Shelton M. Hisley, OB GYN NP's National Provider Identifier is 1891829008, issued on Mar 16, 2007. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Bolivia, NC. The record was last updated on Jul 8, 2007.