FAMILY CARE CLINICAL SERVICES PLLC NPI 1043526296

NPI Information

NPI: 1043526296
Provider Name: FAMILY CARE CLINICAL SERVICES, PLLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
734 DENALI ST
BOWLING GREEN, KY
ZIP 42101
Phone: (270) 228-4152
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FAMILY CARE CLINICAL SERVICES, PLLC is a family nurse practitioner in Bowling Green, KY. FAMILY CARE CLINICAL SERVICES, PLLC NPI is 1043526296. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

734 DENALI ST
BOWLING GREEN, KY
ZIP 42101-432
Phone: (270) 228-4152
Fax: (270) 228-4153

The provider's authorized official is Jason T Shuffitt .
The authorized official title is Owner/president and has the following contact phone number (270) 228-4152.

The enumeration date for this NPI number is 8/26/2010 and was last updated on 8/28/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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