Shelly Gresham, RNC-FNP
NPI 1063491405 · Nurse Practitioner · Poplar Bluff, MO
Shelly Gresham, RNC-FNP is a Nurse Practitioner provider in Poplar Bluff, MO (NPI 1063491405).
Provider details
- NPI number
- 1063491405
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RNC-FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 126637 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-01-13
- Last updated
- 2009-09-22
Frequently asked questions
- What is Shelly Gresham's NPI number?
- Shelly Gresham's National Provider Identifier (NPI) is 1063491405, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shelly Gresham's specialty?
- Shelly Gresham is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shelly Gresham located?
- Shelly Gresham's practice location on file with NPPES is 2480 Three Rivers Blvd, Poplar Bluff, MO 63901-2318.
- What is Shelly Gresham's phone number?
- The practice phone number listed in the NPPES registry for Shelly Gresham is (573) 686-5564.
- Is Shelly Gresham's NPI active?
- Yes — Shelly Gresham's NPI (1063491405) is active in the NPPES registry as of the last update on 2009-09-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.