Shanna Leslie Faughn, RN
Individual provider Active NPI Registered Nurse · Princeton, KY
NPI 1083463624 · NPPES record last updated May 15, 2024
Key facts
- NPI
- 1083463624
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 1114468 (KY)
- Practice address
- 100 Medical Center Dr
Princeton, KY 42445-2430 - Phone
- (270) 365-0423
- NPI assigned
- May 15, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1114468 | KY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1114468 | KY | Yes |
Addresses
Primary practice location
100 Medical Center Dr
Princeton, KY 42445-2430
Mailing address
100 Medical Center Dr
Princeton, KY 42445-2430
Phone (270) 365-0423
Other providers in Princeton, KY
- Elite Emergency Services of Kentucky, PLLC
- Emergency Staffing Solutions
- Eyecare Center of Princeton PLLC
- Chelsey Farless
- Fast Pace Kentucky, PLLC
- Victoria Fires
- Cassidy Cheyenne Franklin
- Tonia McCoy French
- Emily Taylor Garrett
- Genesis Health Care
All providers in Princeton, KY · Registered Nurse in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.