Individual
KAREN SHELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
200 MEDICAL CENTER DR SW, FORT PAYNE, AL 35968-3458
(256) 845-3150
Mailing address
9759 BURTON DR, HENAGAR, AL 35978-5395
(256) 868-0008
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-140863
AL
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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