Provider Demographics
NPI:1144639246
Name:SHELTON, CHELSEA SEXTON (PA)
Entity type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:SEXTON
Last Name:SHELTON
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MISS
Other - First Name:CHELSEA
Other - Middle Name:LARAE
Other - Last Name:SEXTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:470 INDUSTRIAL LN
Mailing Address - Street 2:
Mailing Address - City:ONEIDA
Mailing Address - State:TN
Mailing Address - Zip Code:37841-6294
Mailing Address - Country:US
Mailing Address - Phone:423-286-4141
Mailing Address - Fax:423-286-4145
Practice Address - Street 1:460 INDUSTRIAL LN
Practice Address - Street 2:
Practice Address - City:ONEIDA
Practice Address - State:TN
Practice Address - Zip Code:37841-6294
Practice Address - Country:US
Practice Address - Phone:423-569-3800
Practice Address - Fax:423-569-1744
Is Sole Proprietor?:No
Enumeration Date:2014-08-04
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant