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Shavon Prentice, APRN
Family Nurse Practitioner in Louisville, Kentucky
NPI 1962782128

Shavon Prentice is a Family Nurse Practitioner based in Atlanta, KY and is specialized in Family. Shavon Prentice practices in Louisville, KY and has the professional credentials of APRN. The NPI Number for Shavon Prentice is 1962782128 and holds a License No. 71003614A (Kentucky).

The current practice location address for Shavon Prentice is 5743 Preston Hwy, Louisville, KY and can be reached out via phone at 502-444-6008 and via fax at 502-586-7173.

Location: 5743 Preston Hwy, Louisville, KY, 30374-0012
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Provider Profile Details
NPI Number
1962782128
Provider Name
Shavon Prentice
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
5743 Preston Hwy, Louisville, KY, 30374-0012
Phone Number
502-444-6008
Fax Number
502-586-7173
Provider Enumeration Date
08/19/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100200290 05 KY
institution
Provider Business Practice Location Address Details
Address
5743 Preston Hwy
City
State
Zip
40219-1305
Phone Number
502-444-6008
Fax Number
502-586-7173
person
Provider Business Mailing Address Details
Address
5743 Preston Hwy
City
State
Zip
40219-1305
Phone Number
502-444-6008
Fax Number
502-586-7173
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
3007023 (Kentucky)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71003614A (Indiana)
Definition
Definition to come...
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