Individual
JENNIFER E. SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 CROSSWAYS BLVD STE 114, CHESAPEAKE, VA 23320-0207
(757) 953-6352
(757) 953-6378
Mailing address
600 GRESHAM DR, STE 8630B, NORFOLK, VA 23507-1904
(757) 388-6115
(757) 388-6116
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003423
VA
363AM0700X
Medical Physician Assistant
0110003423
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110003423
VA MEDICAL LICENSE
VA
Enumeration date
10/01/2010
Last updated
02/23/2021
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