Individual
KATHERINE WATERS SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 BAPTIST MEMORIAL CIR STE 120, OXFORD, MS 38655-4476
(662) 244-2288
(662) 636-2285
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902316
MS
Other
Enumeration date
09/22/2017
Last updated
02/03/2021
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