Janine Marie Shively, RN is a
Registered Nurse based in Wildwood, Florida. Janine Marie Shively is licensed to practice in Florida (license number 2951712) and her current practice location is
102 Honeysuckle Dr, Wildwood, Florida. She can be reached at her office (for appointments etc.) via phone at
(352) 572-8650.
NPI number for Janine Marie Shively is 1619409927 and her current mailing address is 102 Honeysuckle Dr, Wildwood, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619409927.
Provider's Profile
Full Name | Janine Marie Shively |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 102 Honeysuckle Dr, Wildwood, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619409927
- Provider Enumeration Date: 03/28/2017
- Last Update Date: 03/28/2017
Medical Identifiers
Medical identifiers for Janine Marie Shively such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619409927 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 2951712 (Florida) | Primary |
163W00000X | Registered Nurse | RN2284978 (Massachusetts) | Secondary |
163W00000X | Registered Nurse | 798644 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Janine Marie Shively is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Janine Marie Shively, RN 102 Honeysuckle Dr, Wildwood, FL 34785-9700 Ph: () - | Janine Marie Shively, RN 102 Honeysuckle Dr, Wildwood, FL 34785-9700 Ph: (352) 572-8650 |
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