Shonda Danielle McIntyre, FNP-BC
Nurse Practitioner, Family in Lexington, KY. Individual provider (NPI-1).
NPI number1982128526
StatusActive
Last updated in NPPESSep 27, 2021
Details
- NPI
- 1982128526
- Entity type
- Individual (NPI-1)
- Name
- Shonda Danielle McIntyre
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2017
- Certification date
- Sep 27, 2021
- Last updated
- Sep 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 3011580 | KY | Yes |
| 363L00000X | Nurse Practitioner | 3011580 | KY |
Practice location
100 N Eagle Creek DrLexington, KY 40509-1805
Phone 859-258-5300 · Fax 859-258-5357
Mailing address
1221 S BroadwayLexington, KY 40504-2701
Phone 859-258-6200 · Fax 859-258-6203
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