Provider Demographics
NPI:1508309808
Name:SHRYOCK, DONNYA GAYLE (APRN)
Entity Type:Individual
Prefix:MRS
First Name:DONNYA
Middle Name:GAYLE
Last Name:SHRYOCK
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:299 KINGS DAUGHTERS DR
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-6514
Mailing Address - Country:US
Mailing Address - Phone:502-418-4477
Mailing Address - Fax:
Practice Address - Street 1:4200 LAWRENCEBURG RD
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-8936
Practice Address - Country:US
Practice Address - Phone:502-227-4821
Practice Address - Fax:502-227-3013
Is Sole Proprietor?:No
Enumeration Date:2016-11-18
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3010765363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily