Individual
SHANESE HOLBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2376 EPPIE COVE LN, KNOXVILLE, TN 37931-4021
(423) 475-2877
Mailing address
2376 EPPIE COVE LN, KNOXVILLE, TN 37931-4021
(423) 475-2877
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
276448
TN
163WG0000X
General Practice Registered Nurse
276448
TN
163WH0200X
Home Health Registered Nurse
276448
TN
163WP2201X
Ambulatory Care Registered Nurse
276448
TN
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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