Individual
SHELBY BLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-7001
(859) 323-5956
(859) 323-1080
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 294-3558
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
1152996
KY
363LA2100X
Acute Care Nurse Practitioner
Primary
3017996
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1152996
KBN
KY
05
—
7100822620
—
KY
Enumeration date
02/04/2022
Last updated
07/12/2023
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