Gough, Shelley Nicole

Gough, Shelley Nicole is an individual health care provider with primary practice located at 2200 Forest Ridge Pkwy Ste 310 , New Castle IN 47362-2943. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Gough, Shelley Nicole can be contacted via phone (765) 599-3400.

Contact Information

Primary practice address
2200 Forest Ridge Pkwy Ste 310 New Castle IN 47362-2943
Phone: (765) 599-3400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28194797A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71010755A Indiana

Profile Details

NPI number 1164019501
LBN Legal business name Gough, Shelley Nicole
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2020
Last updated Jun 13th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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