Provider Demographics
NPI:1659098291
Name:SHEARIN, SHELLY HILLIARD (FNP-BC)
Entity Type:Individual
Prefix:
First Name:SHELLY
Middle Name:HILLIARD
Last Name:SHEARIN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 ENTERPRISE RD
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:NC
Mailing Address - Zip Code:27850-8180
Mailing Address - Country:US
Mailing Address - Phone:252-532-1365
Mailing Address - Fax:
Practice Address - Street 1:110 DIVISION ST
Practice Address - Street 2:
Practice Address - City:NORLINA
Practice Address - State:NC
Practice Address - Zip Code:27563-9041
Practice Address - Country:US
Practice Address - Phone:252-456-2009
Practice Address - Fax:252-456-2889
Is Sole Proprietor?:No
Enumeration Date:2022-10-25
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2022063971363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily