Provider Demographics
NPI:1174962575
Name:SHIELDS, JANNA LINDSEY (RN, FNP)
Entity type:Individual
Prefix:
First Name:JANNA
Middle Name:LINDSEY
Last Name:SHIELDS
Suffix:
Gender:F
Credentials:RN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:186 B AND R LN
Mailing Address - Street 2:
Mailing Address - City:STAUNTON
Mailing Address - State:VA
Mailing Address - Zip Code:24401-5807
Mailing Address - Country:US
Mailing Address - Phone:540-569-0858
Mailing Address - Fax:540-301-2805
Practice Address - Street 1:704 RICHMOND AVE STE A
Practice Address - Street 2:
Practice Address - City:STAUNTON
Practice Address - State:VA
Practice Address - Zip Code:24401-5066
Practice Address - Country:US
Practice Address - Phone:540-446-0455
Practice Address - Fax:540-301-2805
Is Sole Proprietor?:No
Enumeration Date:2013-06-19
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024170928363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily