| Amanda Jean Shackelford, APRN | |
| 
					101 Orchard Dr, Nicholasville, KY 40356-2690  | |
| (859) 881-4288 | |
| (859) 881-4388 | 
| Full Name | Amanda Jean Shackelford | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 101 Orchard Dr, Nicholasville, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1295460251 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3018068 (Kentucky) | Primary | 
| Entity Name | Family Practice Associates Of Lexington Psc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1053316596 PECOS PAC ID: 0749275022 Enrollment ID: O20040416000560  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Amanda Jean Shackelford, APRN 215 E 11th St, Newport, KY 41071-2203 Ph: (859) 655-6100  | Amanda Jean Shackelford, APRN 101 Orchard Dr, Nicholasville, KY 40356-2690 Ph: (859) 881-4288  | 
Dr. Kenneth Ngocha Morfaw,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 128 Lansdowne Dr, Nicholasville, KY 40356 Phone: 859-536-9058  | |
Teresa Jean Bess, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Orchard Dr, Nicholasville, KY 40356 Phone: 859-881-4288 Fax: 859-881-4388  | |
Kathy Lynn Bolton, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1250 Keene Rd, Nicholasville, KY 40356 Phone: 859-858-9355 Fax: 859-858-0416  | |
Sally Elizabeth Campbell, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1250 Keene Rd Ste 102, Nicholasville, KY 40356 Phone: 859-887-6752 Fax: 859-887-6879  | |
Cindy Bush, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 209 Porta Verde, Nicholasville, KY 40356 Phone: 859-509-0924  | |
Shelbi Watts, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 506 N Main St, Nicholasville, KY 40356 Phone: 833-510-4357 Fax: 866-460-2997  | |
Chelsey Sievert, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 122 Langley Dr, Nicholasville, KY 40356 Phone: 859-724-6042  |