Individual
MS. ANGELA REBECCA SHEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
162 SHARP AND PERKINS RD, JACKSBORO, TN 37757-2507
(423) 562-8351
Mailing address
PO BOX 418, JACKSBORO, TN 37757-0418
(423) 562-8351
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
APN0000018122
TN
363LF0000X
Family Nurse Practitioner
Primary
APN0000018122
TN
Other
Enumeration date
04/22/2014
Last updated
04/26/2014
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