SHACONYA L RICHARDSON

LOUISVILLE, KY
NPI1427417153
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY  3010019)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: KY  3010019)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IN  28196212A)
Enumeration Date2016-02-23
Last Update Date2022-02-24
Business Address
SHACONYA L RICHARDSON
714 LYNDON LN STE 6
LOUISVILLE, KY 40222-4643
Phone number: 502-243-5565
Mailing Address
SHACONYA L RICHARDSON
6007 COUNT TURF DR
LOUISVILLE, KY 40272-3549
Phone number: 502-243-5565