Individual
JESSE SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 INCA CIRCLE, OAK RIDGE, TN 37830-5099
(901) 825-6159
Mailing address
100 INCA CIR, OAK RIDGE, TN 37830-5099
(901) 825-6159
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
IN PROCESS
TN
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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