Individual
SHELBY JEAN THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
2300 CHAMBER CENTER DRIVE, SUITE 100, FORT MITCHELL, KY 41017-1673
(859) 341-3114
(859) 578-2156
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 341-3114
(859) 578-2156
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3005772
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3085138
—
OH
05
—
7100077370
—
KY
01
—
P00726170
RAILROAD MEDICARE
KY
01
—
P00821192
RAILROAD MEDICARE
KY
Enumeration date
07/29/2008
Last updated
09/11/2018
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