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Individual
SHANELL SYLROSE WADE-JOHNSON
Active
Individual
SHANELL SYLROSE WADE-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3015778
KY
Other
Enumeration date
02/10/2021
Last updated
11/05/2021
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