Individual
JOHN NELSON SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1016 TACOMA AVE, SUNNYSIDE, WA 98944-2263
(509) 837-1500
(509) 837-4908
Mailing address
220 W GRANDVIEW AVE APT A31, SUNNYSIDE, WA 98944-1876
(770) 316-6087
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2017016476
GA
363LF0000X
Family Nurse Practitioner
Primary
AP70106932
WA
Other
Enumeration date
10/02/2017
Last updated
08/04/2026
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