Provider Demographics
NPI:1932205499
Name:SHELDON, JAN ALYSON (ANP)
Entity Type:Individual
Prefix:
First Name:JAN
Middle Name:ALYSON
Last Name:SHELDON
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 LANDMARK RD
Mailing Address - Street 2:AURORA VA CLINIC
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60506-1167
Mailing Address - Country:US
Mailing Address - Phone:630-859-2504
Mailing Address - Fax:630-859-2508
Practice Address - Street 1:1700 LANDMARK RD
Practice Address - Street 2:AURORA VA CLINIC
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-1167
Practice Address - Country:US
Practice Address - Phone:630-859-2504
Practice Address - Fax:630-859-2508
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health