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Individual

MRS. SHELBY JO PRIDDY CHAPMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
205 HOSPITAL DR STE A, MC KENZIE, TN 38201-1649
(731) 352-7907
(731) 352-4459
Mailing address
205 HOSPITAL DR STE A, MC KENZIE, TN 38201-1649
(731) 352-7907
(731) 352-4459

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA3652
TN
363AM0700X
Medical Physician Assistant
Primary
PA3652
TN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3380640
TN
05
Q044595
TN
Enumeration date
03/23/2018
Last updated
10/10/2025
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