Shelby Lynne Wilson, NP-C
Nurse Practitioner, Family in Cleveland, OH. Individual provider (NPI-1).
NPI number1982258091
StatusActive
Last updated in NPPESJul 18, 2023
Details
- NPI
- 1982258091
- Entity type
- Individual (NPI-1)
- Name
- Shelby Lynne Wilson
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2019
- Certification date
- Jul 18, 2023
- Last updated
- Jul 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN.CNP.024992 | OH | Yes |
Practice location
9500 Euclid Ave # M61Cleveland, OH 44195-0001
Phone 216-445-2224
Mailing address
9500 Euclid Ave # M61Cleveland, OH 44195-0001
Phone 216-445-2224
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