SHONNA BACK

NEWPORT, KY
NPI1376734442
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: KY  3006274)
Enumeration Date2007-08-05
Last Update Date2022-07-08
Business Address
SHONNA BACK NURSE PRACTITIONER
130 PAVILION PKWY
NEWPORT, KY 41071-2998
Phone number: 859-652-7203
Mailing Address
SHONNA BACK NURSE PRACTITIONER
1239 WOODLAND DR STE 108
ELIZABETHTOWN, KY 42701-2770
Phone number: 270-765-4535
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