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Mrs. Shelby Lynn Icenhower, NP-C
Family Nurse Practitioner in Springfield, Missouri
NPI 1619645918

Shelby Lynn Icenhower is a Family Nurse Practitioner based in Springfield, MO and is specialized in Family. Shelby Lynn Icenhower practices in Springfield, MO and has the professional credentials of NP-C. The NPI Number for Shelby Lynn Icenhower is 1619645918 and holds a License No. 2021031470 (Missouri).

The current practice location address for Shelby Lynn Icenhower is 1235 E Cherokee St, Springfield, MO and can be reached out via phone at 417-820-2115.

Location: 1235 E Cherokee St, Springfield, MO, 65804-2203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619645918
Provider Name
Shelby Lynn Icenhower
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
1235 E Cherokee St, Springfield, MO, 65804-2203
Phone Number
417-820-2115
Fax Number
Provider Enumeration Date
09/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1235 E Cherokee St
City
Springfield
State
Missouri
Zip
65804-2203
Phone Number
417-820-2115
Fax Number
person
Provider Business Mailing Address Details
Address
1235 E Cherokee St
City
Springfield
State
Missouri
Zip
65804-2203
Phone Number
417-820-2115
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2021031470 (Missouri)
Definition
Definition to come...
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