Organization
COMMITTED 2 CARE FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHILOH A STOCKSDALE APRN (OWNER)
(812) 590-1010
Entity
Organization
Contact information
Practice address
1410 CHARLESTOWN NEW ALBANY RD, SUITE 103, JEFFERSONVILLE, IN 47130-9639
(812) 590-1010
(812) 590-1014
Mailing address
1410 CHARLESTOWN NEW ALBANY RD, SUITE 103, JEFFERSONVILLE, IN 47130-9639
(812) 590-1010
(812) 590-1014
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002199A
IN
Other
Enumeration date
07/22/2011
Last updated
08/25/2011
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