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Individual
SHANNON BRACEY
Active
Individual
SHANNON BRACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3015437
KY
363L00000X
Nurse Practitioner
APRN.CNP.026339
OH
363LN0000X
Neonatal Nurse Practitioner
Primary
3015437
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
12/13/2019
Last updated
03/04/2021
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