MEDICARE: JAMEISHA SHELTON

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	246RP1900X	Phlebotomy Technician		MI

General Provider Information

NPI Number	:	1689495020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMEISHA SHELTON

Provider Business Mailing Address
First Line	:	2849 MACKIN RD
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48504-7541
Country	:	US
Telephone Number	:	810-207-1037
Fax Number	:	810-674-2196

Provider Business Practice Location Address
First Line	:	2849 MACKIN RD
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48504-7541
Country	:	US
Telephone Number	:	810-207-1037
Fax Number	:	810-674-2196

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

Provider Enumeration Date	:	10/18/2024
Last Update Date	:	04/13/2026

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Directions to “ JAMEISHA SHELTON ” Practice Location

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