Individual
SHANNON D FYFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
147 N HIGHLAND AVE, PRESTONSBURG, KY 41653-7748
(502) 262-2882
Mailing address
1241 HIGHWAY 469, MARTHA, KY 41159-9023
(606) 471-4342
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3018611
KY
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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