Provider Demographics
NPI:1215461629
Name:SHITI, JANE-FRANCES (FNP-C)
Entity type:Individual
Prefix:
First Name:JANE-FRANCES
Middle Name:
Last Name:SHITI
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3550 BUCKSKIN LOOP NE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87144-1446
Mailing Address - Country:US
Mailing Address - Phone:575-363-3134
Mailing Address - Fax:575-208-0780
Practice Address - Street 1:3550 BUCKSKIN LOOP NE
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87144-1446
Practice Address - Country:US
Practice Address - Phone:505-316-5984
Practice Address - Fax:575-208-0780
Is Sole Proprietor?:No
Enumeration Date:2017-04-13
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP133605363LF0000X
NM57160363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily