Provider Demographics
NPI:1063186914
Name:SHELSKY, JENNIFER ELISE X (APRN)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:ELISE
Last Name:SHELSKY
Suffix:X
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 INDIAN ROCK RD
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-1308
Mailing Address - Country:US
Mailing Address - Phone:639-913-7308
Mailing Address - Fax:
Practice Address - Street 1:8 LIMBO LN
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NH
Practice Address - Zip Code:03031-1870
Practice Address - Country:US
Practice Address - Phone:603-673-5885
Practice Address - Fax:603-672-7150
Is Sole Proprietor?:No
Enumeration Date:2021-08-04
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH049249-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily