Individual
JOY MARIE SHAKELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC, CRNP
Contact information
Practice address
2015 GRAND CONCOURSE, BRONX, NY 10453-4303
(718) 583-7736
(718) 537-6180
Mailing address
2626 HALPERIN AVE, BRONX, NY 10461-2631
(718) 618-0401
(347) 479-1303
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP017851
PA
363LW0102X
Women's Health Nurse Practitioner
Primary
F421773
NY
363LW0102X
Women's Health Nurse Practitioner
SP017851
PA
Other
Enumeration date
08/31/2017
Last updated
08/15/2024
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