Sebree Clinic, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3510P Issued in KY

Legal business name

SEBREE CLINIC, LLC

Practice address

7139 Hwy 56 E
Sebree, KY 42455

Phone

(270) 835-2200

Fax

(270) 835-2204

NPI assigned

Dec 31, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Connie J Skinner, ARNP

Title

Sole Owner

Phone

(270) 835-2200

Specialties & licenses 1

Addresses

Other names 1

• Connie Skinner ARNP Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1770813495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7139 HWY 56 E",
            "city": "SEBREE",
            "state": "KY",
            "postal_code": "42455",
            "telephone_number": "270-835-2200",
            "fax_number": "270-835-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7139 HWY 56 E",
            "city": "SEBREE",
            "state": "KY",
            "postal_code": "42455",
            "telephone_number": "270-835-2200",
            "fax_number": "270-835-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEBREE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "270-835-2200",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3510P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connie Skinner ARNP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sebree Medical Group
• Connie J. Skinner, ARNP
• Teen Challenge of Florida, Inc.

• All providers in Sebree, KY
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.