Provider Demographics
NPI:1952810186
Name:JONES, SHELBY P (ARNP)
Entity type:Individual
Prefix:
First Name:SHELBY
Middle Name:P
Last Name:JONES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 HAVENDALE BLVD NW
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33881-1349
Mailing Address - Country:US
Mailing Address - Phone:863-298-6717
Mailing Address - Fax:844-258-5111
Practice Address - Street 1:1225 HAVENDALE BLVD NW
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33881-1349
Practice Address - Country:US
Practice Address - Phone:863-298-6717
Practice Address - Fax:844-258-5111
Is Sole Proprietor?:No
Enumeration Date:2017-09-20
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9327414363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner