Shell, Amy E

Shell, Amy E is an individual health care provider with primary practice located at 2400 Lucy Lee Pkwy Ste A , Poplar Bluff MO 63901-2427. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Shell, Amy E can be contacted via phone (573) 686-1144.

Contact Information

Primary practice address
2400 Lucy Lee Pkwy Ste A Poplar Bluff MO 63901-2427
Phone: (573) 686-1144
Fax: (573) 686-3312
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2000162310 Missouri

Profile Details

NPI number 1750496253
LBN Legal business name Shell, Amy E
Credentials F.N.P- B.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Dec 21st, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750496253 NPPES
Missouri MEDICAID 428744007

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