Individual
KIESHA SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2705 PINE DR NE, CLEVELAND, TN 37312-5516
(423) 495-2525
Mailing address
2525 DESALES AVE, CHATTANOOGA, TN 37404-1161
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
177516
TN
363L00000X
Nurse Practitioner
Primary
33548
TN
Other
Enumeration date
02/01/2023
Last updated
03/30/2023
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