Individual
BRENDA SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1009 CITY AVE N, RIPLEY, MS 38663-1414
(662) 837-2245
(662) 837-2246
Mailing address
PO BOX 499, RIPLEY, MS 38663-0499
(662) 837-2245
(662) 837-2246
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R649295
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04471830
—
MS
Enumeration date
11/20/2006
Last updated
03/14/2025
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