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NPI Code Detail

MEDICARE: MRS. SHELLE D SLOAN APN-NP

MEDICARE: MRS. SHELLE D SLOAN APN-NP
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 Practitioner277004658IL

General Provider Information

NPI Number : 1407147572
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHELLE D SLOAN APN-NP
Provider Business Mailing Address
First Line : 200 S CEDAR ST
Second Line :
City : SHELBYVILLE
State : IL
Zip : 62565-1838
Country : US
Telephone Number : 217-774-4400
Fax Number : 217-774-6445
Provider Business Practice Location Address
First Line : 200 S CEDAR ST
Second Line :
City : SHELBYVILLE
State : IL
Zip : 62565-1838
Country : US
Telephone Number : 217-774-4400
Fax Number : 217-774-6445
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2011
Last Update Date : 04/17/2026

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