Joy Marie Shakelton
Nurse Practitioner Nurse Practitioner - Women's Health
1155 E Mountain Blvd
Wilkes Barre
, Pennsylvania 18702-3377
Joy Marie Shakelton
Nurse Practitioner Nurse Practitioner - Women's Health
1155 E Mountain Blvd
Wilkes Barre
, Pennsylvania 18702-3377
(570) 271-6144
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Joy Marie Shakelton
- 100 N Academy Ave
- Danville, PA
- Zip : 17822-4903
- Phone : (570) 271-6144
Second Address
- Joy Marie Shakelton
- 1155 E Mountain Blvd
- Wilkes Barre, PA
- Zip : 18702-3377
- Phone : (570) 808-7916
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | SP017851 | PA |
| N | 363LW0102X | Nurse Practitioner - Women's Health | SP017851 | PA |
National Provider Identifier
| NPI | 1003334822 |
|---|---|
| Provider Name | Joy Marie Shakelton |
| First Address | Danville, PA 17822-4903 |
| Second Address | Wilkes Barre, PA 18702-3377 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2017 |
| Last Update Date | 31/08/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.