Individual
GLENNA WILLIS LASHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
503 WESTFIELD PL, JASPER, TN 37347-5144
(423) 939-0525
(423) 939-0378
Mailing address
503 WESTFIELD PL, JASPER, TN 37347-5144
(423) 939-0525
(423) 939-0378
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18102
TN
363LF0000X
Family Nurse Practitioner
RN173610 NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q015651
—
TN
Enumeration date
08/19/2010
Last updated
06/11/2019
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