Provider Demographics
NPI:1083132591
Name:NEWBY, SHELIA YVONNE (CERTIFIED NURSING AS)
Entity Type:Individual
Prefix:MRS
First Name:SHELIA
Middle Name:YVONNE
Last Name:NEWBY
Suffix:
Gender:F
Credentials:CERTIFIED NURSING AS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 RIVERSIDE AVE
Mailing Address - Street 2:UNIT 404
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32202
Mailing Address - Country:US
Mailing Address - Phone:904-236-7520
Mailing Address - Fax:
Practice Address - Street 1:220 RIVERSIDE AVE
Practice Address - Street 2:UNIT 404
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32202
Practice Address - Country:US
Practice Address - Phone:904-236-7520
Practice Address - Fax:904-236-7520
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide