Individual
JANSSEN SHEA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
2605 KENTUCKY AVENUE, MEDICAL PARK 3 SUITE 404, PADUCAH, KY 42001-7533
(270) 356-4115
(270) 356-4116
Mailing address
2605 KENTUCKY AVENUE, MEDICAL PARK 3 SUITE 404, PADUCAH, KY 42001-7533
(270) 356-4115
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3015704
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3015704
STATE LICENSE
KY
Enumeration date
02/18/2021
Last updated
05/20/2025
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