| Mrs Jetal Shukla, NP | |
|
431 Keisler Dr Ste 100, Cary, NC 27518-7064 | |
| (919) 468-6820 | |
| (919) 468-6484 |
| Full Name | Mrs Jetal Shukla |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 431 Keisler Dr Ste 100, Cary, North Carolina |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467854224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 5007179 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eventus Wholehealth Pllc | 6002169539 | 309 |
| Entity Name | Lifesource Of North Carolina |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811286156 PECOS PAC ID: 7416132428 Enrollment ID: O20110505000743 |
| Entity Name | Onsite Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912338328 PECOS PAC ID: 7012149222 Enrollment ID: O20140422000656 |
| Entity Name | Eventus Wholehealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548759392 PECOS PAC ID: 6002169539 Enrollment ID: O20181030001281 |
| Entity Name | Lifesource Prime Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598533275 PECOS PAC ID: 7810336385 Enrollment ID: O20240416003922 |
| Entity Name | Eventus Wh Southeast, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487494811 PECOS PAC ID: 5496294456 Enrollment ID: O20240822002165 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jetal Shukla, NP 431 Keisler Dr Ste 100, Cary, NC 27518-7064 Ph: (919) 468-6820 | Mrs Jetal Shukla, NP 431 Keisler Dr Ste 100, Cary, NC 27518-7064 Ph: (919) 468-6820 |
Charity Grant Mcdaniel, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 217 Westover Hills Dr, Cary, NC 27513 Phone: 501-266-4317 | |
Kathryn V Banks, PNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 Ridge View Dr, Cary, NC 27511 Phone: 919-467-5543 | |
Stephanie Evette Kilburn, DNP, MSN, APRN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Crescent Grn Ste 102, Cary, NC 27518 Phone: 919-897-5999 | |
Mrs. Mary Elizabeth Simmons-sherlock, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 Ashville Ave, Cary, NC 27518 Phone: 919-235-6460 | |
Patricia Brown-prestia, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 550 New Waverly Pl, Suite 200, Cary, NC 27518 Phone: 919-467-5941 Fax: 919-655-0532 | |
Ms. Kimberly Rae Handy, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1135 Kildaire Farm Rd Ste 108, Cary, NC 27511 Phone: 919-694-7192 Fax: 919-313-6215 | |
Seth Cox, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 540 New Waverly Pl Ste 200, Cary, NC 27518 Phone: 919-324-3026 |