MRS. JETAL SHUKLA

Address: 10130 Perimeter Pkwy, Ste 200, Charlotte, NC 28216-2447
Phone: 8888497379

MRS. JETAL SHUKLA (NPI# 1467854224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467854224
Entity Type 1 - Individual
Full Name MRS. JETAL SHUKLA
Credential NP
Practice Address 10130 Perimeter Pkwy
Ste 200
Charlotte
NC 28216-2447
Practice Telephone 8888497379
Practice Fax Number 8558577333
Enumeration Date 09/23/2014
Last Update Date 02/10/2017
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
5007179 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 10130 PERIMETER PKWY
STE 200
City CHARLOTTE
State NC
Zip Code 28216-2447

Providers with the same location

NPI Name Address
1215936026 RHONDA SANDERSON LOWRY 10130 Perimeter Pkwy, Ste 200, Charlotte, NC 28216-2447
1750373205 MR. MICHAEL F LEFAIVE 10130 Perimeter Pkwy, Ste 200, Charlotte, NC 28216-2447
1316939788 BRYAN THOMAS PATTERSON 10130 Perimeter Pkwy, Ste 200, Charlotte, NC 28216-2447
1609858745 MRS. LAURA A. HARDCASTLE 10130 Perimeter Pkwy, Ste 200, Charlotte, NC 28216-2447
1912974726 MRS. KAREN CARTER CAFFEY 10130 Perimeter Pkwy, Ste 200, Charlotte, NC 28216-2447
1417924085 MRS. AMY ELSEY GRAGG 10130 Perimeter Pkwy, Ste 200, Charlotte, NC 28216-2447
1891754800 RICHARD DANIEL BATES JR. 10130 Perimeter Pkwy, Ste 200, Charlotte, NC 28216-2447
1902851207 KSENIYA B SCIME 10130 Perimeter Pkwy, Ste 200, Charlotte, NC 28216-2447
1881640852 DR. CHRISTOPHER JON RUNGE 10130 Perimeter Pkwy, Ste 200, Charlotte, NC 28216-2447
1629025655 DR. WILLIAM SIMPSON SAMPSON IV 10130 Perimeter Pkwy, Ste 200, Charlotte, NC 28216-2447

Competitor

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City CHARLOTTE
Zip Code 28216

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.