Individual
SHELIA KINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
4199 GATEWAY BLVD, NEWBURGH, IN 47630-8940
(812) 842-4200
(812) 602-3174
Mailing address
PO BOX 637273, CINCINNATI, OH 45263-7273
(812) 842-4260
(812) 602-3174
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1106947
KY
363LN0000X
Neonatal Nurse Practitioner
Primary
71011948A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1106947
KY LICENSE
KY
Enumeration date
10/19/2021
Last updated
11/30/2021
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