Provider Demographics
NPI:1659681237
Name:SHESKY, ADRIENNE M (NP)
Entity Type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:M
Last Name:SHESKY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1021 COUNTRY CLUB RD UNIT A
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-2484
Mailing Address - Country:US
Mailing Address - Phone:614-501-7337
Mailing Address - Fax:614-434-2701
Practice Address - Street 1:1021 COUNTRY CLUB RD UNIT A
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-2484
Practice Address - Country:US
Practice Address - Phone:614-501-7337
Practice Address - Fax:614-299-2467
Is Sole Proprietor?:No
Enumeration Date:2010-10-15
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY6660P363LP0200X
OHNP-12735363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics