person
Shaconya L Richardson
Psychiatric/Mental Health Nurse Practitioner in Louisville, Kentucky
NPI 1427417153

Shaconya L Richardson is a Psychiatric/Mental Health Nurse Practitioner based in Louisville, KY and is specialized in Psychiatric/Mental Health. Shaconya L Richardson practices in Louisville, KY. The NPI Number for Shaconya L Richardson is 1427417153 and holds a License No. 3010019 (Kentucky).

The current practice location address for Shaconya L Richardson is 714 Lyndon Ln Ste 6, Louisville, KY and can be reached out via phone at 502-243-5565.

Location: 714 Lyndon Ln Ste 6, Louisville, KY, 40272-3549
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Provider Profile Details
NPI Number
1427417153
Provider Name
Shaconya L Richardson
Credential
Provider Entity Type
Individual
Gender
Female
Address
714 Lyndon Ln Ste 6, Louisville, KY, 40272-3549
Phone Number
502-243-5565
Fax Number
Provider Enumeration Date
02/23/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100443600 05 KY
institution
Provider Business Practice Location Address Details
Address
714 Lyndon Ln Ste 6
City
State
Zip
40222-4643
Phone Number
502-243-5565
Fax Number
person
Provider Business Mailing Address Details
Address
714 Lyndon Ln Ste 6
City
State
Zip
40222-4643
Phone Number
502-243-5565
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
28196212A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
3010019 (Kentucky)
Definition
Definition to come...
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