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Individual

PENNY SHELTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP-C

Contact information

Practice address
1008 N MAIN ST, SIKESTON, MO 63801-5044
(573) 472-6001
(573) 472-6006
Mailing address
1008 N MAIN ST, SIKESTON, MO 63801-5044
(573) 472-6001
(573) 472-6006

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
102298
NC
363LA2100X
Acute Care Nurse Practitioner
102298
NC
363LA2100X
Acute Care Nurse Practitioner
Primary
2011035557
MO

Other

Enumeration date
07/26/2006
Last updated
08/16/2016
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