person
Jennifer Michelle Shively, NP
Critical Care Pediatric Nurse Practitioner in Orange, California
NPI 1003165267

Jennifer Michelle Shively is a Critical Care Pediatric Nurse Practitioner based in Orange, CA and is specialized in Pediatrics, Critical Care. Jennifer Michelle Shively practices in Orange, CA and has the professional credentials of NP. The NPI Number for Jennifer Michelle Shively is 1003165267 and holds a License No. 20141 (California).

The current practice location address for Jennifer Michelle Shively is 455 S Main St, Orange, CA and can be reached out via phone at 714-204-3277.

Location: 455 S Main St, Orange, CA, 92868-3835
person
Provider Profile Details
NPI Number
1003165267
Provider Name
Jennifer Michelle Shively
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
455 S Main St, Orange, CA, 92868-3835
Phone Number
714-204-3277
Fax Number
Provider Enumeration Date
09/04/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
455 S Main St
City
State
Zip
92868-3835
Phone Number
714-204-3277
Fax Number
person
Provider Business Mailing Address Details
Address
455 S Main St
City
State
Zip
92868-3835
Phone Number
714-204-3277
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics, Critical Care
Taxonomy
License No.
20141 (California)
Definition
Definition to come...
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