Individual
NICOLE JEAN SHAUGHNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
221 S 6TH ST, TERRE HAUTE, IN 47807-4214
(812) 242-3737
Mailing address
5167 CHANDLER NICHOLAS LN, TERRE HAUTE, IN 47802-9834
(812) 814-0946
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71016921A
IN
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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