Individual
MRS. SHANNON PAIGE OVERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
162 SHARP PERKINS ROAD, JACKSBORO, TN 37757-0418
(423) 562-8351
(423) 562-1593
Mailing address
237 SMITH OAKS LN, JACKSBORO, TN 37757-5219
(423) 494-8815
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
145795
TN
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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