Provider Demographics
NPI:1164121836
Name:SHELTON, JABRITA RONETTE (CNA CD)
Entity Type:Individual
Prefix:MS
First Name:JABRITA
Middle Name:RONETTE
Last Name:SHELTON
Suffix:
Gender:F
Credentials:CNA CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4943 VALLEY CREST DR APT 304
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-2644
Mailing Address - Country:US
Mailing Address - Phone:240-351-2015
Mailing Address - Fax:
Practice Address - Street 1:4943 VALLEY CREST DR APT 304
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-2644
Practice Address - Country:US
Practice Address - Phone:240-351-2015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-01
Last Update Date:2023-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula