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:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7750 DILEY RD STE A
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-7758
Mailing Address - Country:US
Mailing Address - Phone:614-837-7337
Mailing Address - Fax:614-837-7335
Practice Address - Street 1:7750 DILEY RD STE A
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-7758
Practice Address - Country:US
Practice Address - Phone:614-837-7337
Practice Address - Fax:614-837-7335
Is Sole Proprietor?:No
Enumeration Date:2010-10-15
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY6660P363LP0200X
OHNP-12735363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0302296Medicaid