Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Michelle Shively, NP

Individual provider Critical Care Pediatric Nurse Practitioner · NPI 1003165267

Jennifer Michelle Shively, NP is a Critical Care Pediatric Nurse Practitioner in Orange, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

455 S Main St
Orange, CA 92868-3835
Phone: (714) 204-3277
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Pediatric Nurse Practitioner (primary) Taxonomy 363LP0222X · Licence 20141 (CA)

Record details

NPI number1003165267
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 4, 2012
Last updated in NPPESSeptember 4, 2012

Other providers in Orange