Individual
SAHARRA D JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
161 SHIRLEY DR, WINCHESTER, TN 37398-2256
(931) 455-0247
Mailing address
161 SHIRLEY DR, WINCHESTER, TN 37398-2256
(931) 455-0247
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7914
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
621763648
TAX ID
TN
Enumeration date
10/11/2007
Last updated
11/02/2015
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