IndividualActive
Jessica Shutt, RNCS
NPI 1700052214 · Adult Psychiatric/Mental Health Clinical Nurse Specialist · Orange City, FL
Provider details
- NPI number
- 1700052214
- Entity type
- Individual
- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RNCS
- Sex
- Female
- Sole proprietor
- No
- License
- 233581 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2725 Rebecca Ln Ste 107
Orange City, FL 32763-8350
Phone: (386) 775-0736
Fax: (386) 775-0738
Approximate (ZIP-level) locationGet directions
Mailing address
2725 Rebecca Ln Ste 107
Orange City, FL 32763-8350
Registry dates
- Enumerated
- 2008-05-05
- Last updated
- 2023-12-12
- Certified
- 2023-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.