SHANELL SYLROSE WADE-JOHNSON

LOUISVILLE, KY
NPI1639761620
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3015778)
Enumeration Date2021-02-10
Last Update Date2021-11-05
Business Address
SHANELL SYLROSE WADE-JOHNSON APRN
530 S JACKSON ST
LOUISVILLE, KY 40202-1675
Phone number: 502-562-4060
Mailing Address
SHANELL SYLROSE WADE-JOHNSON APRN
PO BOX 909
LOUISVILLE, KY 40201-0909
Phone number:
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