Individual
MRS. SHELLEY LYNN JAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6000 W OSCEOLA PKWY, KISSIMMEE, FL 34746-4414
(407) 586-0138
Mailing address
409 MACCHI AVE, OAKLAND, FL 34787-3059
(719) 505-2019
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
1647513
CO
163WC0200X
Critical Care Medicine Registered Nurse
1647513
CO
163WC1500X
Community Health Registered Nurse
Primary
1647513
CO
163WP2201X
Ambulatory Care Registered Nurse
1647513
CO
163WX0106X
Occupational Health Registered Nurse
1647513
CO
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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