Provider Demographics
NPI:1720328123
Name:CHEVRY-JULES, SHIRLEY (RN)
Entity Type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:
Last Name:CHEVRY-JULES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 BRENDEL DRIVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-1961
Mailing Address - Country:US
Mailing Address - Phone:614-566-3677
Mailing Address - Fax:
Practice Address - Street 1:2525 BRENDEL DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-8004
Practice Address - Country:US
Practice Address - Phone:614-556-3677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-21
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH407474163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse