Individual
TARYN T SHELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
250 WATER STONE CIR, JOLIET, IL 60431-8313
(815) 740-4104
Mailing address
250 WATER STONE CIR, JOLIET, IL 60431-8313
(815) 740-4104
(815) 740-4104
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.010823
IL
363LA2100X
Acute Care Nurse Practitioner
209010823
IL
363LG0600X
Gerontology Nurse Practitioner
209010823
IL
Other
Enumeration date
10/17/2013
Last updated
03/25/2022
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