PENNY SHELTON ACNP-C NPI 1881617116

NPI Information

NPI: 1881617116
Provider Name: PENNY SHELTON, ACNP-C
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
1008 N MAIN ST
SIKESTON, MO
ZIP 63801
Phone: (573) 472-6001
Get Directions

Penny Shelton, ACNP-C is an acute care nurse practitioner in Sikeston, MO with 24 years of experience. Penny Shelton, ACNP-C NPI is 1881617116. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1008 N MAIN ST
SIKESTON, MO
ZIP 63801-044
Phone: (573) 472-6001
Fax: (573) 472-6006

The NPI 1881617116 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 8/16/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	102298	NORTH CAROLINA	No
2	207R00000X	Internal Medicine		102298	NORTH CAROLINA	No
3	363LA2100X	Nurse Practitioner	Acute Care	2011035557	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q42379	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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