Provider Demographics
NPI:1831460526
Name:JOB, SHINY (DNP FNP)
Entity type:Individual
Prefix:MRS
First Name:SHINY
Middle Name:
Last Name:JOB
Suffix:
Gender:F
Credentials:DNP FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2923 N HAWTHORN DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AZ
Mailing Address - Zip Code:85132-6872
Mailing Address - Country:US
Mailing Address - Phone:480-200-6897
Mailing Address - Fax:
Practice Address - Street 1:2923 N HAWTHORN DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AZ
Practice Address - Zip Code:85132-6872
Practice Address - Country:US
Practice Address - Phone:480-200-6897
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-26
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP4348363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily