Individual
MRS. ALICE WARD SHOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
106 HOLT CT, GREENEVILLE, TN 37743-6917
(423) 444-5838
Mailing address
184 LORENA LN, JONESBOROUGH, TN 37659-4493
(865) 617-1356
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN0000143255
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1506054
—
TN
Enumeration date
08/02/2006
Last updated
04/04/2013
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