person
Shonna Back, NURSEPRACTITIONER
Family Nurse Practitioner in Newport, Kentucky
NPI 1376734442

Shonna Back is a Family Nurse Practitioner based in Elizabethtown, KY and is specialized in Family. Shonna Back practices in Newport, KY and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Shonna Back is 1376734442 and holds a License No. 3006274 (Kentucky).

The current practice location address for Shonna Back is 130 Pavilion Pkwy, Newport, KY and can be reached out via phone at 859-652-7203 and via fax at 859-652-7204.

Location: 130 Pavilion Pkwy, Newport, KY, 42701-2770
person
Provider Profile Details
NPI Number
1376734442
Provider Name
Shonna Back
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
130 Pavilion Pkwy, Newport, KY, 42701-2770
Phone Number
859-652-7203
Fax Number
859-652-7204
Provider Enumeration Date
08/05/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
130 Pavilion Pkwy
City
State
Zip
41071-2998
Phone Number
859-652-7203
Fax Number
859-652-7204
person
Provider Business Mailing Address Details
Address
130 Pavilion Pkwy
City
State
Zip
41071-2998
Phone Number
859-652-7203
Fax Number
859-652-7204
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
3006274 (Kentucky)
Definition
Definition to come...
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