Individual
SHAQUITA BONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
999 GIRL SCOUT RD, BURNS, TN 37029-9065
(615) 913-8493
Mailing address
425 LONG CREEK DR, CHRISTIANA, TN 37037-5466
(615) 830-9695
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
23496
TN
Other
Enumeration date
10/02/2018
Last updated
10/23/2019
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