Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 3016463 | KY |
NPI | 1023783339 |
---|---|
Provider Name | Tonya Nicole Sellinger |
First Address | Louisville, KY 40229-4464 |
Second Address | Elizabethtown, KY 42701-1496 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2021 |
Last Update Date | 10/08/2021 |