JOLEEN MARY SHELTON (NPI# 1417259664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417259664 |
| Entity Type | Individual |
| Full Name | JOLEEN MARY SHELTON |
| Credential | NP-C |
| Practice Address |
408 W Alexander Ave Greenwood SC 29646-4031 |
| Practice Telephone | 8642279393 |
| Practice Fax Number | 8642279377 |
| Mailing Telephone | 8642279393 |
| Mailing Fax Number | 8642279377 |
| Enumeration Date | 2010-11-20 |
| Last Update Date | 2020-09-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
17798 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
5005584 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP 9322078 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1640 Campus Park Dr, Ste C, Monroe, NC 281125283 | 7042260366 | 7049710035 |
| Street Address |
408 W ALEXANDER AVE |
| City | GREENWOOD |
| State | SC |
| Zip Code | 29646-4031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740283399 | Robert William Todd | Family Medicine | 408 W Alexander Ave, Greenwood, SC 29646-4031 | 2005-05-27 |
| 1306458237 | Rosanna Walker | Nurse Practitioner | 408 W Alexander Ave, Greenwood, SC 29646-4031 | 2020-08-21 |
| 1285971275 | Christie Shealy Brewster | Nurse Practitioner | 408 W Alexander Ave, Greenwood, SC 29646-4031 | 2013-01-10 |
| 1487973780 | Nancy Hart Wicker | Family Medicine | 408 W Alexander Ave, Greenwood, SC 29646-4031 | 2010-05-26 |
| 1902064512 | Hospice and Palliative Care of The Piedmont Inc | Family Medicine | 408 W Alexander Ave, Greenwood, SC 29646-4031 | 2008-05-30 |
| 1871764522 | Angela S. Mearns | Nurse Practitioner | 408 W Alexander Ave, Greenwood, SC 29646-4031 | 2008-03-20 |
| 1538298781 | Hospice and Palliative Care of The Piedmont Inc | Hospice Care, Community Based | 408 W Alexander Ave, Greenwood, SC 29646-4031 | 2007-03-05 |
| 1952467417 | Hospicecare of The Piedmont, Inc. | Home Health | 408 W Alexander Ave, Greenwood, SC 29646-4031 | 2006-12-29 |
| 1538224076 | Hospice and Palliative Care of The Piedmont Inc | Hospice Care, Community Based | 408 W Alexander Ave, Greenwood, SC 29646-4031 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535416 | Supriya Lal | Dietitian, Registered | 303 Parkwood Rd, Greenwood, SC 29646 | 2020-07-22 |
| 1174158406 | Mara L Schwartz | Registered Nurse | 1226 Spring St., Diabtes Education Department, Greenwood, SC 29646 | 2020-03-06 |
| 1487213724 | Greater Greenwood United Ministry | Family Medicine | 1404 Edgefield Street, Greenwood, SC 29646 | 2019-06-11 |
| 1346747995 | Kelli Diane Clune | Nurse Practitioner | 115 E Alexander Ave, Greenwood, SC 29646 | 2018-04-10 |
| 1184150112 | Sanquinette Sanders Brownlee | Nurse Practitioner | 929 Phoenix Stret, Clinica Gratis, Greenwood, SC 29646 | 2017-05-11 |
| 1194258426 | Kimberley Lovejoy | Assistant Behavior Analyst | 210a Birchtree, Greenwood, SC 29646 | 2017-04-04 |
| 1427590900 | Rejuvenation Massage By Frances | Clinic/Center | 610 Chace Avenue, Greenwood, SC 29646 | 2016-11-15 |
| 1932651643 | Hayley Smith | Counselor | 110 Court Ave W, Greenwood, SC 29646 | 2016-10-28 |
| 1942757927 | Towanda Morton | Community Health Worker | 303 Suite B South Main Street, Greenwood, SC 29646 | 2016-09-07 |
| 1770039976 | Bragan Mace | Pharmacist | 1376 South Main St., Greenwood, SC 29646 | 2016-08-28 |
| Find all providers in zip 29646 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093322505 | Amy Decker | Nurse Practitioner | 452 Macy Way, Greenwood, IN 46142-7483 | 2020-09-29 |
| 1417574252 | Amanda Rees | Nurse Practitioner | 432 S Emerson Ave Ste 320, Greenwood, IN 46143-1952 | 2020-06-27 |
| 1093330979 | Renee Francine Jones | Nurse Practitioner | 698 Oldfield Commons Dr, Greenwood, IN 46142 | 2020-06-16 |
| 1487287579 | Angela Williams | Nurse Practitioner | 224 Georgia Ave, Greenwood, SC 29646-4642 | 2020-02-17 |
| 1740831015 | Cynthia Louise Lambert | Nurse Practitioner | 21580 Stacey Ln, Greenwood, NE 68366-1776 | 2019-09-26 |
| 1124682315 | Jill Bell Shirley | Nurse Practitioner | 105 Vinecrest Ct Ste 1000, Greenwood, SC 29646-8031 | 2019-04-24 |
| 1609332840 | Donna Luckett | Nurse Practitioner | 210 Amanda Dr Apt 15b, Greenwood, MS 38930-3820 | 2019-02-12 |
| 1902385123 | Cassandra Leigh Cole | Nurse Practitioner | 701 E County Line Rd Ste 204, Greenwood, IN 46143-1071 | 2018-08-08 |
| 1033607924 | Ez Clinic Inc. | Nurse Practitioner | 494 S Emerson Ave Ste I, Greenwood, IN 46143 | 2018-04-25 |
| 1346747995 | Kelli Diane Clune | Nurse Practitioner | 115 E Alexander Ave, Greenwood, SC 29646 | 2018-04-10 |
| Find all providers in GREENWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.