Individual
ROXY L SHORTRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
99 SIDNEY STREET, MOUNTAIN HOME, TN 37864
(423) 926-1171
Mailing address
PO BOX 301, BULLS GAP, TN 37711-0301
(423) 523-4723
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
36867
TN
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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