Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
JENNIFER ANNE SHEALY
Active
Individual
JENNIFER ANNE SHEALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
10045481
OR
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
201508365RN
OR
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
95035588
CA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
95334819
CA
208D00000X
General Practice Physician
95334819
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
10045481
OR
363LP2300X
Primary Care Nurse Practitioner
95035588
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10045481
OREGON NURSE PRACTITIONER LICENSE
OR
01
—
15295
NURSE PRACTITIONER PRESCRIPTIVE AUTHORITY NUMBER
OR
01
—
95035588
CALIFORNIA FURNISHING LICENSE
CA
Enumeration date
05/22/2025
Last updated
05/05/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers