Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shelly Y Gresham, RNC-FNP

Individual provider Nurse Practitioner · NPI 1063491405

Shelly Y Gresham, RNC-FNP is a Nurse Practitioner in Poplar Bluff, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006

Practice location Address checks out

2480 Three Rivers Blvd
Poplar Bluff, MO 63901-2318
Phone: (573) 686-5564
Fax: (573) 686-2838
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 126637 (MO)

Record details

NPI number1063491405
Entity typeIndividual (Type 1)
GenderFemale
Credentials RNC-FNP
Sole proprietorNo
NPI enumeratedJanuary 13, 2006
Last updated in NPPESSeptember 22, 2009

Other providers in Poplar Bluff