DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SHANNON MCSHEA JEWELL RDN

MEDICARE: SHANNON MCSHEA JEWELL RDN
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
1133V00000XRegistered DietitianL006902NC
2133V00000XRegistered Dietitian

General Provider Information

NPI Number : 1649828278
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON MCSHEA JEWELL RDN
Provider Business Mailing Address
First Line : MEDICAL CENTER BLVD
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27157-0001
Country : US
Telephone Number : 336-716-8237
Fax Number :
Provider Business Practice Location Address
First Line : 4610 COUNTRY CLUB RD
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27104-3520
Country : US
Telephone Number : 336-716-8237
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2019
Last Update Date : 06/03/2026

Similar Medicare Providers

1720063175 — STEVEN RICHARD FELDMAN MD
Practice Location Address:
4618 COUNTRY CLUB RD
WINSTON SALEM, NC
27104-3520
Practice Phone: 336-716-3926
Practice Fax: 336-716-9258
1063497196 — DEBRA COPELAND SIZEMORE PAC
Practice Location Address:
4618 COUNTRY CLUB RD
WINSTON SALEM, NC
27104-3520
Practice Phone: 336-716-2255
Practice Fax: 336-716-9258
1255316311 — RITA OTILIA PICHARDO MD
Practice Location Address:
4618 COUNTRY CLUB RD
WINSTON SALEM, NC
27104-3520
Practice Phone: 336-716-2255
Practice Fax: 336-716-9258
1134104177 — AMY JO MCMICHAEL MD
Practice Location Address:
4618 COUNTRY CLUB RD
WINSTON SALEM, NC
27104-3520
Practice Phone: 336-716-2255
Practice Fax: 336-716-9258
1518943943 — DR. PHILLIP MABON WILLIFORD MD
Practice Location Address:
4618 COUNTRY CLUB RD
WINSTON SALEM, NC
27104-3520
Practice Phone: 336-716-2255
Practice Fax: 336-716-6761
1316923360 — JOSEPH LUCIUS JORIZZO MD
Practice Location Address:
4618 COUNTRY CLUB RD
WINSTON SALEM, NC
27104-3520
Practice Phone: 336-716-2255
Practice Fax: 336-716-9258

Directions to “ SHANNON MCSHEA JEWELL RDN” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.