Individual
MRS. JESSICA CLAIRE SHAMBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
988 OAK RIDGE TPKE STE 200, OAK RIDGE, TN 37830-6919
(865) 483-4366
Mailing address
988 OAK RIDGE TPKE STE 200, OAK RIDGE, TN 37830-6919
(865) 483-4366
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12233
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33438181
—
TN
01
—
4155652
BCBST
TN
05
—
Q048117
—
TN
Enumeration date
09/20/2006
Last updated
06/24/2020
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