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Individual
MRS. SHELLY S BOONE
Active
Individual
MRS. SHELLY S BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28144111A
IN
367A00000X
Advanced Practice Midwife
Primary
09000290A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000504327
BCBS
IN
05
—
200842600
—
IN
01
—
21358
PHP
IN
Enumeration date
08/03/2006
Last updated
08/13/2026
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