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NPI Code Detail

MEDICARE: SHEMILLE D FLINTA FNP-C

MEDICARE:   SHEMILLE D FLINTA  FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician17805-33WI

General Provider Information

NPI Number : 1730038787
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEMILLE D FLINTA FNP-C
Provider Business Mailing Address
First Line : 514 5TH AVE S
Second Line :
City : COLUMBUS
State : MS
Zip : 39701-6718
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 514 5TH AVE S
Second Line :
City : COLUMBUS
State : MS
Zip : 39701-6718
Country : US
Telephone Number : 847-212-8404
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2026
Last Update Date : 01/23/2026

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Directions to “ SHEMILLE D FLINTA FNP-C” Practice Location

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