Individual provider · Type 1 NPI
Shelby Lynn Icenhower, NP-C
Family Nurse Practitioner · Springfield, MO
NPI number
1619645918
Active
Practice location
1235 E Cherokee St
Springfield, MO 65804-2203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2021031470 (MO) |
Family Nurse Practitioner: Definition to come...
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About NPI 1619645918
Shelby Lynn Icenhower, NP-C's National Provider Identifier is 1619645918, issued on Sep 1, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Springfield, MO. The record was last updated on Sep 1, 2021.