Provider Demographics
NPI:1134558067
Name:STILES, SHELBY JEAN (FNP)
Entity type:Individual
Prefix:
First Name:SHELBY
Middle Name:JEAN
Last Name:STILES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 228
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:ME
Mailing Address - Zip Code:04734-0228
Mailing Address - Country:US
Mailing Address - Phone:207-550-2002
Mailing Address - Fax:
Practice Address - Street 1:106 MAIN ST
Practice Address - Street 2:
Practice Address - City:MARS HILL
Practice Address - State:ME
Practice Address - Zip Code:04758-3403
Practice Address - Country:US
Practice Address - Phone:207-550-2002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-01
Last Update Date:2025-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERN30940363LP2300X
MECNP131104363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care