Individual
CRYSTAL SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5302 BALL CAMP PIKE, KNOXVILLE, TN 37921-3234
(568) 541-6958
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000082566
TN
Other
Enumeration date
06/28/2016
Last updated
05/29/2024
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