MEDICARE: MRS. KIAHNA MONET SHELTON MSN, FNP-BC

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	363LP2300X	Primary Care Nurse Practitioner	1153907	TX

General Provider Information

NPI Number	:	1578320255
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KIAHNA MONET SHELTON MSN, FNP-BC

Provider Business Mailing Address
First Line	:	620 CEMBRA DR
Second Line	:
City	:	GREENWOOD
State	:	IN
Zip	:	46143-7691
Country	:	US
Telephone Number	:	760-421-8952
Fax Number	:

Provider Business Practice Location Address
First Line	:	1007 S CONGRESS AVE STE 405
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-8707
Country	:	US
Telephone Number	:	512-850-5498
Fax Number	:

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

Provider Enumeration Date	:	02/29/2024
Last Update Date	:	05/14/2026

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