Shannon Wiles, APRN
Nurse Practitioner, Family in Willisburg, KY. Individual provider (NPI-1).
NPI number1982145975
StatusActive
Last updated in NPPESMar 3, 2025
Details
- NPI
- 1982145975
- Entity type
- Individual (NPI-1)
- Name
- Shannon Wiles
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 10, 2017
- Certification date
- Mar 3, 2025
- Last updated
- Mar 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 3011177 | KY | Yes |
Practice location
2084 Main StWillisburg, KY 40078-8199
Phone 859-375-9200
Mailing address
2084 Main StWillisburg, KY 40078-8199
Phone 859-375-9200
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