Individual
SHANNON BRACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536
(859) 562-1085
Mailing address
3333 BURNET AVE # MLC1013, CINCINNATI, OH 45229-3026
(859) 227-5108
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
—
—
Other
Enumeration date
12/13/2019
Last updated
03/04/2021
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