Individual
LINDSAY REBECCA SHACKELFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
810 E TRI COUNTY BLVD, OLIVER SPRINGS, TN 37840-1828
(865) 466-6522
Mailing address
810 E TRI COUNTY BLVD, OLIVER SPRINGS, TN 37840-1828
(865) 466-6522
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
83974
TN
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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