Shelly Nicholson, LVN is a
Licensed Vocational Nurse based in Kennedale, Texas. Shelly Nicholson is licensed to practice in Texas (license number 217853) and her current practice location is
1008 Bell Oak Dr, Kennedale, Texas. She can be reached at her office (for appointments etc.) via phone at
(214) 563-4079.
NPI number for Shelly Nicholson is 1457854077 and her current mailing address is 1008 Bell Oak Dr, Kennedale, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457854077.
Provider's Profile
| Full Name | Shelly Nicholson |
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| Gender | Female |
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| Speciality | Licensed Vocational Nurse |
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| Location | 1008 Bell Oak Dr, Kennedale, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1457854077
- Provider Enumeration Date: 03/09/2018
- Last Update Date: 03/09/2018
Medical Identifiers
Medical identifiers for Shelly Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457854077 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 217853 (Texas) | Primary |
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. Shelly Nicholson 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 |
|---|
Shelly Nicholson, LVN
1008 Bell Oak Dr,
Kennedale, TX 76060-5621
Ph: () - | Shelly Nicholson, LVN
1008 Bell Oak Dr,
Kennedale, TX 76060-5621
Ph: (214) 563-4079 |
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