Individual
MRS. AUTUM DAWN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
2263 SANDSTONE DR, MORRISTOWN, TN 37814-2593
(423) 535-4544
Mailing address
2263 SANDSTONE DR, MORRISTOWN, TN 37814-2593
(423) 353-1070
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0000018876
TN
363L00000X
Nurse Practitioner
Primary
APN0000018876
TN
363LF0000X
Family Nurse Practitioner
APN0000018876
TN
Other
Enumeration date
08/04/2014
Last updated
01/18/2016
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