Individual provider · Type 1 NPI

Shanell Sylrose Wade-Johnson, APRN

Family Nurse Practitioner · Louisville, KY

NPI number 1639761620 Active

Practice location

530 S Jackson St
Louisville, KY 40202-1675

Call (502) 562-4060 Map

Fax (502) 457-4035

Mailing address

PO Box 909
Louisville, KY 40201-0909

Other practice locations

  • 310 E Broadway Ste 100, Louisville, KY 40202-1745 · (502) 245-0002

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X3015778 (KY)

Family Nurse Practitioner: Definition to come...

441 other providers at this address

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About NPI 1639761620

Shanell Sylrose Wade-Johnson, APRN's National Provider Identifier is 1639761620, issued on Feb 10, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Louisville, KY. The record was last updated on Nov 5, 2021.