SHELLY GRESHAM, RNC-FNP

Nurse Practitioner

Active Individual
NPI: 1063491405

Practice Address

2480 THREE RIVERS BLVD
Poplar Bluff, MO 63901

Phone: (573) 686-5564

Specialties

Specialty Code Primary License
Nurse Practitioner 363L00000X Yes 126637 (MO)

Frequently Asked Questions

NPI 1063491405 is the National Provider Identifier for SHELLY GRESHAM, RNC-FNP, a Nurse Practitioner provider located in Poplar Bluff, MO. This NPI was enumerated on January 13, 2006.
SHELLY GRESHAM, RNC-FNP practices at 2480 THREE RIVERS BLVD, Poplar Bluff, MO 63901.

Quick Facts

NPI
1063491405
Type
Individual
Enumerated
Jan 13, 2006
Last Updated
Sep 22, 2009

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