JESSICA SHELLMAN (NPI# 1790390094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790390094 |
| Entity Type | Individual |
| Full Name | JESSICA SHELLMAN |
| Practice Address |
408 Person St. Ste 103 Fayetteville NC 28301 |
| Mailing Address |
1130 Furman Dr Apt F3 Lumberton NC 28358-1202 |
| Practice Telephone | 9104830958 |
| Mailing Telephone | 2527725797 |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCAS-25394 | NC | Behavioral Health & Social Service Providers |
| Street Address |
408 PERSON ST. STE 103 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726219 | Jenna Michelle Odneal | Behavior Technician | 16915 Liverpool Pkwy. Suite B., Cornelius, NC 28301 | 2020-10-02 |
| 1487205951 | Martha K Richardson | Technician | 720 Teachers Dr, Fayetteville, NC 28301 | 2019-09-25 |
| 1013568161 | Angela Rena Locklear | Counselor | 211 Lamon St, Fayeteville, NC 28301 | 2019-09-20 |
| 1619535747 | Teresa Wilson | Contractor | 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 | 2019-06-04 |
| 1912461815 | Catherine Stevenson Nwogalanya | Community Health Worker | 1103 Hillsboro St., Fayetteville, NC 28301 | 2019-01-24 |
| 1811443187 | Michael Carroll | Counselor | 308 Peterson Place, Fayetteville, NC 28301 | 2016-08-28 |
| 1023499886 | Latifa Fedai | Nurse Practitioner | 380 Person Street, Fayettevill, NC 28301 | 2015-06-17 |
| 1265868939 | Aci Support Specialists | Community/Behavioral Health | 1725 Venna Drive, Fayetteville, NC 28301 | 2013-09-25 |
| 1871929547 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 2820 Copenhagen Drive, Fayetteville, NC 28301 | 2013-09-25 |
| 1518217066 | Deborah L. Hall | Licensed Practical Nurse | 528 Country Club Drive, Fayetteville, NC 28301 | 2012-09-12 |
| Find all providers in zip 28301 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704691 | Adriana Londono | Counselor | 418 Person St Ste 103, Fayetteville, NC 28301-5886 | 2020-09-09 |
| 1881203487 | Finfa, Inc. | Counselor | 2026 Corrinna St, Fayetteville, NC 28301-3622 | 2020-07-29 |
| 1326657875 | Jeanette Middle Jordan-huffam Office | Counselor | 3911 W Bent Grass Dr, Fayetteville, NC 28312-8791 | 2020-07-29 |
| 1942824354 | Daytoria Marie Rhone | Counselor | 7816 Klondyke Dr, Fayetteville, NC 28311-9249 | 2020-06-01 |
| 1508486853 | Vivian M Davis | Counselor | 1022 Brookhollow Dr Apt 9, Fayetteville, NC 28314-1108 | 2020-04-16 |
| 1982255956 | Courtney Washington | Counselor | 1777 Michelle Ct, Fayetteville, NC 28304-5558 | 2019-09-21 |
| 1982251104 | Inspiring Change | Counselor | 111 Lamon St Ste 113, Fayetteville, NC 28301-4917 | 2019-08-22 |
| 1245887868 | Erica Graham | Counselor | 105 Bradford Sq Ste A, Fayetteville, GA 30215-1974 | 2019-08-19 |
| 1316502040 | Bettina Rochelle Melvin | Counselor | 1425 Avoncroft Dr, Fayetteville, NC 28306-3567 | 2019-05-08 |
| 1770041592 | Johnnie Lefuel Wilson Iv | Counselor | 6307 Melody Ln, Fayetteville, NC 28304-5554 | 2019-03-11 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28301 |
Please comment or provide details below to improve the information on JESSICA SHELLMAN.
| 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.