Individual
JOHNNA C SHOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
4915 NORTON HEALTHCARE BLVD STE 301, LOUISVILLE, KY 40241-2860
(502) 394-6460
(502) 394-6465
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010319
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001083714
ANTHEM PIN
—
05
—
300009605
—
IN
01
—
6043312
AETNA PIN
—
05
—
7100465120
—
KY
01
—
CS1811300243
CARESOURCE ID
—
Enumeration date
06/24/2016
Last updated
09/07/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us