Provider Demographics
NPI:1427535541
Name:SELLMAN, SHELIA ANNETTE (AGACNP-BC)
Entity type:Individual
Prefix:
First Name:SHELIA
Middle Name:ANNETTE
Last Name:SELLMAN
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:SHELIA
Other - Middle Name:ANNETTE
Other - Last Name:MANEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8595 PELHAM RD STE 400
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-5763
Mailing Address - Country:US
Mailing Address - Phone:864-316-8964
Mailing Address - Fax:877-337-6280
Practice Address - Street 1:8595 PELHAM RD STE 400
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-5763
Practice Address - Country:US
Practice Address - Phone:864-316-8964
Practice Address - Fax:877-337-6283
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-21
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN24433363LA2100X
NC5016118363LA2200X
GA280575363LA2200X
SC26142363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care