MEDICARE: SHELLY-ANN JOHN

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
1	374J00000X	Doula

General Provider Information

NPI Number	:	1013881184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELLY-ANN JOHN

Provider Business Mailing Address
First Line	:	PO BOX 1062
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33061-1062
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 1062
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33061-1062
Country	:	US
Telephone Number	:	954-682-6603
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2025
Last Update Date	:	10/01/2025

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Directions to “ SHELLY-ANN JOHN ” Practice Location

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