MS. SHELLY LYNN MIZELLE LPN
NPI 1679890784
Licensed Practical Nurse in Reynoldsburg, OH

Q: What is Shelly Mizelle's NPI number?

The NPI number for Shelly Mizelle is 1679890784. It was assigned to this individual provider in the NPPES registry on April 28, 2010.

Q: What is Shelly Mizelle's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Shelly Mizelle was last updated on April 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 28, 2010

2199 BALDWIN PL APT J, REYNOLDSBURG, OH 43068(614) 625-7350 Get Directions Write a Review

NPPES record last updated: April 28, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Shelly Lynn Mizelle Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SHELLY LYNN MIZELLE LPN (NPI 1679890784) is an individual licensed practical nurse in Reynoldsburg, Ohio, licensed in Ohio (PN139356) and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1679890784

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMS. SHELLY LYNN MIZELLECredential: LPN

Location Address2199 BALDWIN PL APT JReynoldsburg, OH 43068-3659

Mailing Address2199 Baldwin Pl Apt JReynoldsburg, OH 43068-3659 · (614) 625-7350

Phone(614) 625-7350

Sole ProprietorYes

Enumeration DateApril 28, 2010

✔ NPI 1679890784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

Licenses✔ Licensed in OH · PN139356✔ Licensed in OH · 139356

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

2199 BALDWIN PL APT J, Reynoldsburg, OH 43068

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelly Mizelle's NPI number?

The NPI number for Shelly Mizelle is 1679890784. It was assigned to this individual provider in the NPPES registry on April 28, 2010.

Where is Shelly Mizelle located?

Shelly Mizelle practices at 2199 Baldwin Pl Apt J, Reynoldsburg, OH 43068. The listed phone number is (614) 625-7350.

What is Shelly Mizelle's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Shelly Mizelle was last updated on April 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.