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NPI Code Detail

MEDICARE: MS. JULIA ANN SHELBY NP

MEDICARE:  MS. JULIA ANN SHELBY  NP
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
1363L00000XNurse Practitioner283688CA

General Provider Information

NPI Number : 1700118387
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JULIA ANN SHELBY NP
Provider Business Mailing Address
First Line : 8734 E MURRAY CREEK RD
Second Line :
City : MOUNTAIN RANCH
State : CA
Zip : 95246-9673
Country : US
Telephone Number : 209-754-4783
Fax Number :
Provider Business Practice Location Address
First Line : 1500 S HIGHWAY 49
Second Line : STE 105
City : JACKSON
State : CA
Zip : 95642-2652
Country : US
Telephone Number : 209-223-5500
Fax Number : 209-223-4964
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2010
Last Update Date : 02/05/2010

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Directions to “ MS. JULIA ANN SHELBY NP” Practice Location

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