NPI
Jennifer Anne Shealy
NPI 1285426361
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- NP
- Type
- Individual
- Enumeration date
- 2025-05-22
- Last updated
- 2026-05-05
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Specialties
Licenses
- License CA
- 95035588
- License OR
- 10045481
- License CA
- 95334819
- License OR
- 201508365RN
Location
- Practice location
- 20530 Big Springs Rd Ste 3
- City
- Weed CA
- Postal code
- 96094-9600
- Phone
- (541) 646-4088
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Weed, CA. 62 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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