Individual
MRS. DANIELLE RACHELLE SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
105 W STONE DR, STE 1F, KINGSPORT, TN 37660-3365
(423) 230-2420
(423) 230-2422
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
(423) 857-2070
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN17437
TN
Other
Enumeration date
03/08/2013
Last updated
03/08/2013
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