Jarrel L Shackleford, PA-C
Physician Assistant in Wilmington, North Carolina
1548559099- Practice location
- 1814 New Hanover Medical Park Dr, Wilmington, NC 28403-5350
- Phone
- 910-662-8765
- Fax
- 910-362-9123
- Last updated
- June 1, 2022
Jarrel Lynne Shackleford is a Physician Assistant based in Wilmington, NC. Jarrel Lynne Shackleford practices in Wilmington, NC and has the professional credentials of PA-C. The NPI Number for Jarrel Lynne Shackleford is 1548559099 and holds a License No. 0010-12100 (NC). The current practice location address for Jarrel Lynne Shackleford is 1814 New Hanover Medical Park Dr, Wilmington, NC 28403-5350 and can be reached out via phone at 910-662-8765 and via fax at 910-362-9123.
Provider Profile Details
- NPI Number
- 1548559099
- Provider Name
- Jarrel Lynne Shackleford
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1814 New Hanover Medical Park Dr, Wilmington, NC 28403-5350
- Phone Number
- 910-662-8765
- Fax Number
- 910-362-9123
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Other Names
- -- Jarrel Lynne Tustin (Former Name)
- Provider Enumeration Date
- April 5, 2011
- Last Update Date
- June 1, 2022
- Certification Date
- June 1, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1814 New Hanover Medical Park Dr
Wilmington, NC 28403-5350 - City
- Wilmington
- State
- North Carolina
- Zip
- 28403-5350
- Phone Number
- 910-662-8765
- Fax Number
- 910-362-9123
Provider Business Mailing Address Details
- Address
- Po Box 936857
Atlanta, GA 31193-6857 - City
- Atlanta
- State
- GA
- Zip
- 31193-6857
- Phone Number
- 910-662-8765
- Fax Number
- 910-362-9123
License Information
- License Number (1)
- 0010-12100
- License State (1)
- NC
- Taxonomy (1)
- Physician Assistant · 363A00000X · Primary
- License Number (2)
- PA00580
- License State (2)
- RI
- Taxonomy (2)
- Physician Assistant · 363A00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Wilmington, NC
View all Physician Assistants in Wilmington →- April Thomas, PAPhysician Assistant · NPI 1568930527
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- Brittany K Barr, PA-CPhysician Assistant · NPI 1831810100
- Christine E Abbata, PAPhysician Assistant · NPI 1730303603
- Erin A Elphick, PA-CPhysician Assistant · NPI 1285241083
- Garrett J Beyer, PA-CPhysician Assistant · NPI 1720732738
Frequently Asked Questions
What is the NPI number of Jarrel L Shackleford, PA-C?
The NPI number of Jarrel L Shackleford, PA-C is 1548559099. It was assigned on April 5, 2011 and is currently active in the NPPES registry.
What is the specialty of Jarrel L Shackleford, PA-C?
Jarrel L Shackleford, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NC under license number 0010-12100.
Where does Jarrel L Shackleford, PA-C practice?
The practice location is 1814 New Hanover Medical Park Dr, Wilmington, NC 28403-5350. The office can be reached at 910-662-8765 (phone) or 910-362-9123 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548559099 directly on the NPPES registry website.