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1295460251
AMANDA JEAN SHACKELFORD
NICHOLASVILLE, KY
NPI
1295460251
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3018068)
Enumeration Date
2022-07-22
Last Update Date
2022-09-12
Business Address
AMANDA JEAN SHACKELFORD APRN
101 ORCHARD DR
NICHOLASVILLE, KY 40356-2690
Phone number: 859-881-4288
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Mailing Address
AMANDA JEAN SHACKELFORD APRN
215 E 11TH ST
NEWPORT, KY 41071-2203
Phone number: 859-655-6100
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