Individual
SHELBEY DAWN POROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1605 MARTIN SPRINGS DR, ROLLA, MO 65401-2982
(573) 458-6326
Mailing address
PO BOX 71, BUCHANAN, TN 38222-0071
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2024042778
MO
363LF0000X
Family Nurse Practitioner
36545
TN
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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