Individual
CHRISTINE M SCHUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
5807 HARRODS GLEN DR, PROSPECT, KY 40059-7650
(502) 419-0410
Mailing address
5807 HARRODS GLEN DR, PROSPECT, KY 40059-7650
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3017967
KY
Other
Enumeration date
02/01/2023
Last updated
10/26/2023
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