Provider Demographics
NPI:1649326067
Name:SHEWELL, JOAN LOUISE (RNC WHNP)
Entity type:Individual
Prefix:MS
First Name:JOAN
Middle Name:LOUISE
Last Name:SHEWELL
Suffix:
Gender:F
Credentials:RNC WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3803 E SHEWELL LN
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:IN
Mailing Address - Zip Code:47167-9057
Mailing Address - Country:US
Mailing Address - Phone:812-883-4958
Mailing Address - Fax:
Practice Address - Street 1:717 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:IN
Practice Address - Zip Code:47421-2124
Practice Address - Country:US
Practice Address - Phone:812-279-3527
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28048852A363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health