Individual
JACQUELYN SHELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
732 MAIN ST, TOLEDO, OH 43605-2397
(409) 691-0600
Mailing address
732 MAIN ST, TOLEDO, OH 43605-2397
(409) 691-0600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.205324
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN.205324
OHIO NURSING BOARD
OH
Enumeration date
05/20/2022
Last updated
05/20/2022
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