Individual
JENNIFER LEIGH SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7794 RHEA COUNTY HWY, SUITE 101, DAYTON, TN 37321-5981
(423) 775-3363
Mailing address
7794 RHEA COUNTY HWY, SUITE 101, DAYTON, TN 37321-5981
(423) 775-3363
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13493
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1512785
—
TN
Enumeration date
07/23/2008
Last updated
08/16/2012
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