Provider Demographics
NPI:1225635360
Name:SCHMITT, SHALLON R (APRN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:SHALLON
Middle Name:R
Last Name:SCHMITT
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:MS
Other - First Name:SHALLON
Other - Middle Name:R
Other - Last Name:GRIESHABER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:5400 SKEFFINGTON WAY
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-1367
Mailing Address - Country:US
Mailing Address - Phone:502-643-0842
Mailing Address - Fax:
Practice Address - Street 1:231 MIDLAND PARK
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:KY
Practice Address - Zip Code:40065-9735
Practice Address - Country:US
Practice Address - Phone:502-633-6411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-01
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3015097363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily