Shonna Back, NURSEPRACTITIONER
Shonna Back, NURSEPRACTITIONER is a Nurse Practitioner in Newport, Kentucky. Qualified in 2006, 20 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.
- Years since qualifying
- 20
- Licensed in
- KY
- In the registry since
- 2007
Practice location Address checks out
130 Pavilion PkwyNewport, KY 41071-2998
Phone: (859) 652-7203
Fax: (859) 652-7204
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 3955 Alexandria Pike, Cold Spring, KY 41076-2027 — (859) 442-8700
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 3006274 (KY) |
|---|
Record details
| NPI number | 1376734442 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NURSEPRACTITIONER |
| Sole proprietor | No |
| NPI enumerated | August 5, 2007 |
| Last updated in NPPES | July 8, 2022 |
| Certification date | June 7, 2022 |
| Mailing address | 1239 Woodland Dr Ste 108, Elizabethtown, KY 42701-2770 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2006 (20 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Newport
-
Jennafer Barker, APRN
215 E 11th St, Newport, KY 41071-2203 · (859) 655-6100
-
Pamela Sue Bihl, APRN
130 Pavilion Pkwy, Newport, KY 41071-2998 · (859) 652-7203
-
MS. Sarah Elizabeth Blackburn, APRN
130 Pavilion Pkwy, Newport, KY 41071-2998 · (859) 652-7203
-
Mary Lou Braun, APRN
12 E 5th St, Newport, KY 41071-1618 · (859) 578-3200