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Shaconya L Richardson

Nurse Practitioner, Psych/Mental Health in Louisville, KY. Individual provider (NPI-1).

NPI number1427417153
StatusActive
Last updated in NPPESMar 19, 2025

Details

NPI
1427417153
Entity type
Individual (NPI-1)
Name
Shaconya L Richardson
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 23, 2016
Certification date
Mar 19, 2025
Last updated
Mar 19, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental Health3010019KYYes
363LF0000X Nurse Practitioner, Family3010019KY
363LP0808X Nurse Practitioner, Psych/Mental Health28196212AIN

Practice location

714 Lyndon Ln Ste 6
Louisville, KY 40222-4643

Phone 502-243-5565

Mailing address

6007 Count Turf Dr
Louisville, KY 40272-3549

Phone 502-243-5565 · Fax 502-772-8983

Other practice locations

645 S Roy Wilkins Ave
Louisville, KY 40203-2072

Phone 502-583-6990

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Psychiatric/Mental Health Nurse Practitioner providers in Louisville, KY

All 314 Psychiatric/Mental Health Nurse Practitioner providers in Louisville · All 27,512 providers in Louisville

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