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Individual

JODY WARREN SHELTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
185 KY-271, LEWISPORT, KY 42351
(270) 287-0087
(270) 287-0019
Mailing address
185 KY-271, LEWISPORT, KY 42351
(270) 287-0087
(270) 287-0019

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4033386
KY
363LP2300X
Primary Care Nurse Practitioner
4033386
KY

Other

Enumeration date
12/30/2024
Last updated
01/05/2026
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