Individual
JAN MITCHELL SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
501 E GREEN DR, HIGH POINT, NC 27260-6707
(336) 845-7990
(336) 845-3210
Mailing address
PO BOX 367, LIBERTY, NC 27298-0367
(336) 845-7655
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
940074
NC
363LW0102X
Women's Health Nurse Practitioner
SHE1-0427-2570
IL
Other
Enumeration date
03/05/2007
Last updated
01/17/2012
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