Individual
AMY E SHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P- B.C.
Contact information
Practice address
2400 LUCY LEE PKWY STE A, POPLAR BLUFF, MO 63901-2427
(573) 686-1144
(573) 686-3312
Mailing address
472 REMINGTON PL, POPLAR BLUFF, MO 63901-8076
(573) 300-5905
(573) 686-8785
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2000162310
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
428744007
—
MO
Enumeration date
08/21/2006
Last updated
12/21/2018
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