Individual
SHIRLEY TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1028 E 3RD ST, CHATTANOOGA, TN 37403-2107
(423) 266-6751
(423) 763-4650
Mailing address
1028 E 3RD ST, CHATTANOOGA, TN 37403-2107
(423) 266-6751
(423) 763-4650
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN6150
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3147649
BLUE CROSS
TN
Enumeration date
10/10/2006
Last updated
07/08/2007
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