| NPI | 1841822152 |
|---|---|
| Professional Name | SHELBY HELEN PHELON-JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 903610) |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2021-03-05 |