Individual provider · Type 1 NPI
Jaclyn Shields
Family Nurse Practitioner · Louisville, KY
NPI number
1013696798
Active
Practice location
231 E Chestnut St
Louisville, KY 40202-1821
Mailing address
205 Sunset Dr
Lawrenceburg, KY 40342-1458
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 1138276 (KY) |
| Family Nurse Practitioner Primary | 363LF0000X | 4008949 (KY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1013696798
Jaclyn Shields's National Provider Identifier is 1013696798, issued on Jul 11, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Louisville, KY. The record was last updated on Jun 25, 2024.