| Shedrick D Shields, PHD, APRN | |
|
3363 Dione St, West Melbourne, FL 32904-7582 | |
| (904) 477-3138 | |
| Not Available |
| Full Name | Shedrick D Shields |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 3363 Dione St, West Melbourne, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902125446 | NPI | - | NPPES |
| 002286300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | ARNP9168218 (Florida) | Primary |
| Entity Name | Mobile Practitioners Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841827789 PECOS PAC ID: 0244660546 Enrollment ID: O20200429002113 |
| Mailing Address | Practice Location Address |
|---|---|
| Shedrick D Shields, PHD, APRN 3363 Dione St, West Melbourne, FL 32904-7582 Ph: (904) 477-3138 | Shedrick D Shields, PHD, APRN 3363 Dione St, West Melbourne, FL 32904-7582 Ph: (904) 477-3138 |
Kiara Hodge, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 250 S Wickham Rd, West Melbourne, FL 32904 Phone: 321-752-5210 | |
Mrs. Nicole Wiggins, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4311 Norfolk Pkwy Ste 114, West Melbourne, FL 32904 Phone: 321-341-3321 | |
Mrs. Nardege Jean-francois Jean, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 145 Palm Bay Rd Ne Ste 111, West Melbourne, FL 32904 Phone: 321-608-3595 | |
Jennifer Sulyk, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2572 Reflections Pl, West Melbourne, FL 32904 Phone: 407-421-0223 | |
Laurie L. Maxwell, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3431 Lakewood Dr, West Melbourne, FL 32904 Phone: 321-373-1226 | |
Ms. Lindsay Michelle Miller, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2550 Wingate Blvd, West Melbourne, FL 32904 Phone: 321-369-9514 | |
Mrs. Robin Marie Defrancesco, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 250 S Wickham Rd, West Melbourne, FL 32904 Phone: 321-752-5210 |