Individual
CHARLEEN BRIANNE SHELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
19600 E 39TH ST S, INDEPENDENCE, MO 64057-2301
(816) 698-7600
Mailing address
6147 NE MOONSTONE CT, LEES SUMMIT, MO 64064-1187
(816) 977-8300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F01200539
MO
Other
Enumeration date
01/20/2020
Last updated
02/15/2022
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