Individual
JAYNE SHADLYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1300 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 22903-3363
(434) 924-2241
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
(434) 295-1000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101272280
VA
2084P0800X
Psychiatry Physician
MD18429
RI
390200000X
Student in an Organized Health Care Education/Training Program
0116030807
VA
Other
Enumeration date
07/21/2017
Last updated
07/29/2025
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