Individual
MADISON SHIPLEY POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10415 WALLACE ALLEY ST, KINGSPORT, TN 37663-3936
(423) 390-0451
Mailing address
6385 BRISTOL HWY APT 250, PINEY FLATS, TN 37686-5235
(423) 483-4540
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
40811
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/07/2023
Last updated
01/15/2026
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