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Individual

MRS. SHALONDA NANCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3240 SUTHERLAND AVE, KNOXVILLE, TN 37919-4576
(186) 530-7665
Mailing address
3240 SUTHERLAND AVE, KNOXVILLE, TN 37919-4576
(865) 307-6652

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
153102
TN
171M00000X
Case Manager/Care Coordinator
153102
TN
172A00000X
Driver
Primary
153102
TN
172V00000X
Community Health Worker
153102
TN

Other

Enumeration date
07/01/2015
Last updated
07/01/2015
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