Individual
MRS. SHELLEY NICOLE REAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
9159 TELECOM DR, MILAN, TN 38358
(731) 686-4212
(731) 723-1302
Mailing address
92 BEND RD, DYERSBURG, TN 38024-8600
(731) 445-0127
(731) 723-1302
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
161142
TN
363L00000X
Nurse Practitioner
Primary
19505
TN
Other
Enumeration date
12/17/2014
Last updated
10/20/2018
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