Individual provider · Type 1 NPI

Shelley Nicole Gough, NP-C

Family Nurse Practitioner · New Castle, IN

NPI number 1164019501 Active

Practice location

2200 Forest Ridge Pkwy Ste 310
New Castle, IN 47362-2943

Mailing address

PO Box 485
New Castle, IN 47362-0485

Other practice locations

  • 152 Wittenbraker Ave, New Castle, IN 47362-5000 · (765) 599-3100
  • 3512 Stellhorn Rd, Fort Wayne, IN 46815-4631 · (260) 483-9081

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X28194797A (IN)
Family Nurse Practitioner Primary 363LF0000X71010755A (IN)

Family Nurse Practitioner: Definition to come...

9 other providers at this address

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About NPI 1164019501

Shelley Nicole Gough, NP-C's National Provider Identifier is 1164019501, issued on Dec 30, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New Castle, IN. The record was last updated on Jun 13, 2024.