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Contact Information

LISA R SHELLEY, RD, LD, CDE, BC-ADM
2460 CURTIS ELLIS DR
ROCKY MOUNT, NC27804
 Phone: 806-212-0577
 Fax: 806-212-0563
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for LISA R SHELLEY · (Female)

NPI # 1659529378
Status Active
Credentials RD, LD, CDE, BC-ADM
Entity Individual
Enumeration date 09/06/2008
Last updated 08/20/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NC License # L005339
  • TX License # DT80908
  • Other 200913419 AMERICAN ASSOCIATION OF DIABETIC EDUCATORS
  • Other 20120483 NCBDE
  • TX Other 942472 AMERICAN DIETETIC ASSOCIATION
  • TX Other DT80908 TEXAS STATE BOARD OF EXAMINERS OF DIETITIANS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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