Shelly Y Gresham, RNC-FNP
NPI #1063491405 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1063491405
- Entity Type
- Individual
- Name
- Shelly Y Gresham, RNC-FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- RNC-FNP
- Enumeration Date
- Jan 13, 2006
- Last Updated
- Sep 22, 2009
Practice Location
- Address
- 2480 THREE RIVERS BLVD
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-2318
- Phone
- (573) 686-5564
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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