SHELBY LYNN ICENHOWER

SPRINGFIELD, MO
NPI1619645918
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  2021031470)
Enumeration Date2021-09-01
Last Update Date2021-09-01
Business Address
Mrs. SHELBY LYNN ICENHOWER NP-C
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804-2203
Phone number: 417-820-2115
Mailing Address
Mrs. SHELBY LYNN ICENHOWER NP-C
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804-2203
Phone number:
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AFFIRM MANAGEMENT AND CONSULTING, LLC