Healthcare Provider Details

I. General information

NPI: 1801667928
Provider Name (Legal Business Name): SHELBY ELIZABETH BARNETT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHELBY E LINN

II. Dates (important events)

Enumeration Date: 01/09/2024
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 MICHIGAN ST
SIDNEY OH
45365-2401
US

IV. Provider business mailing address

11854 HILL RD
ROCKFORD OH
45882-8800
US

V. Phone/Fax

Practice location:
  • Phone: 937-498-2311
  • Fax:
Mailing address:
  • Phone: 419-605-6106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.0035631
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71014899A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: