NPI 1134820715 · live from the CMS NPI Registry
Shelby Noel Cain, DNP, APRN, CPNP-AC
Nurse Practitioner, Pediatrics in Jackson, TN. National Provider Identifier 1134820715, active.
NPI record
| NPI | 1134820715 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1535 Vann Dr, Jackson, TN 38305 |
| Practice phone | 731-984-9944 |
| Mailing address | 153 Spring Creek Hwy, Medina, TN 38355 |
| Enumerated | March 13, 2023 |
| Last updated | March 13, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 32335 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.