# MRS. SHERELENE SCOTT FORTNEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1578549036
- **Gender:** F
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 3003035 | KY | Yes |

## Other

- **Enumeration date:** 12/16/2005
- **Last updated:** 12/04/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000360923 | BCBS | KY |
| 05 | — | 78011335 | — | KY |
| 01 | — | P01132666 | RAILROAD MEDICARE PTAN | KY |