Individual
JESSICA ASHLEY SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3916 BEN FRANKLIN BLVD, DURHAM, NC 27704
(919) 384-0700
Mailing address
2446 MEDWAY DR, RALEIGH, NC 27608-1613
(919) 384-0700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
236358
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
102592
NC
Other
Enumeration date
03/24/2014
Last updated
07/24/2018
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