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Individual
SHONDA JACQUELINE PHELON
Active
Individual
SHONDA JACQUELINE PHELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.F.N.P.; P.M.H.N.P
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R734347
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R734347
MS
Other
Enumeration date
05/03/2007
Last updated
02/02/2010
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