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Mrs. Susan Ashley Shively, CRNFA,MSN,FNP-C
Family Nurse Practitioner in Campbellsville, Kentucky
NPI 1972656379

Susan Ashley Shively is a Family Nurse Practitioner based in Campbellsville, KY and is specialized in Family. Susan Ashley Shively practices in Campbellsville, KY and has the professional credentials of CRNFA,MSN,FNP-C. The NPI Number for Susan Ashley Shively is 1972656379 and holds a License No. 3004973 (Kentucky).

The current practice location address for Susan Ashley Shively is 803 Lebanon Ave, Campbellsville, KY and can be reached out via phone at 270-465-2521.

Location: 803 Lebanon Ave, Campbellsville, KY, 42718-1809
person
Provider Profile Details
NPI Number
1972656379
Provider Name
Susan Ashley Shively
Credential
CRNFA,MSN,FNP-C
Provider Entity Type
Individual
Gender
Female
Address
803 Lebanon Ave, Campbellsville, KY, 42718-1809
Phone Number
270-465-2521
Fax Number
Provider Enumeration Date
01/19/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100001600 05 KY
institution
Provider Business Practice Location Address Details
Address
803 Lebanon Ave
City
State
Zip
42718-1809
Phone Number
270-465-2521
Fax Number
person
Provider Business Mailing Address Details
Address
803 Lebanon Ave
City
State
Zip
42718-1809
Phone Number
270-465-2521
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
3004973 (Kentucky)
Definition
Definition to come...
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