Individual
MRS. SHERELENE SCOTT FORTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
602 KNOX ST, BARBOURVILLE, KY 40906-1304
(606) 546-6027
(606) 546-2084
Mailing address
602 KNOX ST, BARBOURVILLE, KY 40906-1304
(606) 546-6027
(606) 546-2084
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3003035
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000360923
BCBS
KY
05
—
78011335
—
KY
01
—
P01132666
RAILROAD MEDICARE PTAN
KY
Enumeration date
12/16/2005
Last updated
12/04/2020
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