Shelley Elizabeth Jones, CSFA
Individual provider Active NPI Surgical Assistant · Scottsville, KY
NPI 1508307950 · NPPES record last updated Mar 18, 2017
Key facts
- NPI
- 1508307950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Assistant 246ZC0007X
- License
- 172672 (KY)
- Practice address
- 3242 Holland Rd
Scottsville, KY 42164-9102 - Phone
- (270) 618-1115
- NPI assigned
- Mar 18, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 172672 | KY | MD | Surgical Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 172672 | KY | Yes |
Addresses
Primary practice location
3242 Holland Rd
Scottsville, KY 42164-9102
Mailing address
3242 Holland Rd
Scottsville, KY 42164-9102
Phone (270) 618-1115
Other providers in Scottsville, KY
- J. Mark Huntsman DMD PSC
- Emily Tabor Jessie
- John M Hall, M.D. PSC
- Johnson Dental Associates, PLLS
- Tamara Johnson Kraft
- Elizabeth Ann Keown
- Phallin Jade Key
- Scott Kirschner
- Lindsey Landers
- Michael Vernon Lang
All providers in Scottsville, KY · Surgical Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.