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Shannon Spain, APRN
Family Nurse Practitioner in Hopkinsville, Kentucky
NPI 1205306131

Shannon Spain is a Family Nurse Practitioner based in Hopkinsville, KY and is specialized in Family. Shannon Spain practices in Hopkinsville, KY and has the professional credentials of APRN. The NPI Number for Shannon Spain is 1205306131 and holds a License No. 3012917 (Kentucky).

The current practice location address for Shannon Spain is 222 W 18Th St, Hopkinsville, KY and can be reached out via phone at 270-886-4625 and via fax at 270-886-6619.

Location: 222 W 18Th St, Hopkinsville, KY, 42240-1963
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205306131
Provider Name
Shannon Spain
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
222 W 18Th St, Hopkinsville, KY, 42240-1963
Phone Number
270-886-4625
Fax Number
270-886-6619
Provider Enumeration Date
12/04/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100582460 05 KY
institution
Provider Business Practice Location Address Details
Address
222 W 18Th St
City
Hopkinsville
State
Kentucky
Zip
42240-1963
Phone Number
270-886-4625
Fax Number
270-886-6619
person
Provider Business Mailing Address Details
Address
222 W 18Th St
City
Hopkinsville
State
Kentucky
Zip
42240-1963
Phone Number
270-886-4625
Fax Number
270-886-6619
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
3012917 (Kentucky)
Definition
Definition to come...
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