Healthcare Provider Details

I. General information

NPI: 1275451528
Provider Name (Legal Business Name): SHELBY L DURAN MSN, RN, AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 N RIVERSIDE RD
SAINT JOSEPH MO
64507-2502
US

IV. Provider business mailing address

1703 STONECREST DR
KEARNEY MO
64060-7941
US

V. Phone/Fax

Practice location:
  • Phone: 816-271-7074
  • Fax: 816-385-8083
Mailing address:
  • Phone: 816-660-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number2026031627
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: