DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SHONNA BACK NURSE PRACTITIONER

MEDICARE: SHONNA BACK NURSE PRACTITIONER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner3006274KY

General Provider Information

NPI Number : 1376734442
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHONNA BACK NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 1239 WOODLAND DR STE 108
Second Line :
City : ELIZABETHTOWN
State : KY
Zip : 42701-2770
Country : US
Telephone Number : 270-765-4535
Fax Number : 270-763-1901
Provider Business Practice Location Address
First Line : 130 PAVILION PKWY
Second Line :
City : NEWPORT
State : KY
Zip : 41071-2998
Country : US
Telephone Number : 859-652-7203
Fax Number : 859-652-7204
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2007
Last Update Date : 07/08/2022

Similar Medicare Providers

1205268190 — MS. SARAH ELIZABETH BLACKBURN APRN
Practice Location Address:
130 PAVILION PKWY
NEWPORT, KY
41071-2998
Practice Phone: 859-652-7203
Practice Fax:
1295064731 — KROGER LIMITED PARTNERSHIP I
Practice Location Address:
130 PAVILION PKWY
NEWPORT, KY
41071-2998
Practice Phone: 859-292-5680
Practice Fax: 859-292-5681
1912292277 — REBECCA ROBINSON RPH
Practice Location Address:
130 PAVILION PKWY
NEWPORT, KY
41071-2998
Practice Phone: 859-292-5680
Practice Fax: 859-292-5681
1386987568 — MRS. ASHLEY RENEE ROEDING
Practice Location Address:
130 PAVILION PKWY
NEWPORT, KY
41071-2998
Practice Phone: 856-652-7203
Practice Fax:
1265855241 — KIOSK MEDICINE KENTUCKY LLC
Practice Location Address:
130 PAVILION PKWY
NEWPORT, KY
41071-2998
Practice Phone: 859-652-7203
Practice Fax: 859-652-7204
1265822043 — MRS. SARAH C RANK FNP-C
Practice Location Address:
130 PAVILION PKWY
NEWPORT, KY
41071-2998
Practice Phone: 859-652-7203
Practice Fax:

Directions to “ SHONNA BACK NURSE PRACTITIONER” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.