Individual
PATRICIA SHEAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8484
(270) 798-8499
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8484
(270) 798-8499
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN125015
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN 125015
RN
TN
Enumeration date
03/06/2009
Last updated
03/06/2009
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