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Shelley J Park, NP
Nurse Practitioner in Redlands, California
NPI 1386683480

Shelley J Park is a Nurse Practitioner based in San Bernardino, CA. Shelley J Park practices in Redlands, CA and has the professional credentials of NP. The NPI Number for Shelley J Park is 1386683480 and holds a License No. 14554 (California).

The current practice location address for Shelley J Park is 2 W Fern Ave, Redlands, CA and can be reached out via phone at 909-793-3311 and via fax at 909-796-4158.

Location: 2 W Fern Ave, Redlands, CA, 92423-0069
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386683480
Provider Name
Shelley J Park
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2 W Fern Ave, Redlands, CA, 92423-0069
Phone Number
909-793-3311
Fax Number
909-796-4158
Provider Enumeration Date
06/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ08162Z 05 CA
institution
Provider Business Practice Location Address Details
Address
2 W Fern Ave
City
Redlands
State
California
Zip
92373-5916
Phone Number
909-793-3311
Fax Number
909-796-4158
person
Provider Business Mailing Address Details
Address
2 W Fern Ave
City
Redlands
State
California
Zip
92373-5916
Phone Number
909-793-3311
Fax Number
909-796-4158
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
14554 (California)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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