Individual
SHANEALE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
495 DUNLOP LN STE 106, CLARKSVILLE, TN 37040-5296
(931) 347-6385
(931) 553-5091
Mailing address
495 DUNLOP LN STE 106, CLARKSVILLE, TN 37040-5296
(931) 347-6385
(931) 553-5091
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
97219
TN
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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