Healthcare Provider Details

I. General information

NPI: 1053951780
Provider Name (Legal Business Name): ALLISON KRISTINE SHEKHAWAT APRN, FNP- BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLISON KRISTINE HELMICK APRN, FNP-BC

II. Dates (important events)

Enumeration Date: 01/10/2020
Last Update Date: 01/24/2024
Certification Date: 01/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 WASHINGTON ST W
CHARLESTON WV
25302-2344
US

IV. Provider business mailing address

108 WASHINGTON ST W
CHARLESTON WV
25302-2344
US

V. Phone/Fax

Practice location:
  • Phone: 304-345-4525
  • Fax: 304-345-4527
Mailing address:
  • Phone: 304-345-4525
  • Fax: 304-345-4527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP142890
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number104040
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: