Most Relevant Information
Provider Data
| NPI Number: | 1003334822 |
| Provider Name: | JOY MARIE SHAKELTON WHNP-BC, CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LW0102X |
| Specialty: | Nurse Practitioner |
| License Number: | SP017851 |
Most Important Dates
| Enumeration Date: | 08/31/2017 |
| Last Updated: | 08/15/2024 |
Provider Practice Location
2015 GRAND CONCOURSE
BRONX
NY
104534303
Practice Location Phone/Fax
| Phone: | 7185837736 |
| Fax: | 7185376180 |
Provider Mailing Location
2626 HALPERIN AVE
BRONX
NY
104612631
Provider Mailing Phone/Fax
| Phone: | 7186180401 |
| Fax: | 3474791303 |