Individual
SHELLI RENAE SLAUGHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1611 S BALTIMORE ST STE A, KIRKSVILLE, MO 63501-4519
(660) 665-7575
(660) 665-7576
Mailing address
1611 S BALTIMORE ST STE A, KIRKSVILLE, MO 63501-4519
(660) 665-7575
(660) 665-7576
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
155924
MO
164W00000X
Licensed Practical Nurse
052050
MO
363LF0000X
Family Nurse Practitioner
Primary
2018035969
MO
Other
Enumeration date
09/28/2018
Last updated
11/19/2018
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