Individual
SHANNON PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22130 RHEA COUNTY HWY, SPRING CITY, TN 37381-5243
(423) 718-2328
(423) 365-0761
Mailing address
22130 RHEA COUNTY HWY, SPRING CITY, TN 37381-5243
(423) 718-2328
(423) 365-0761
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
159069
TN
164W00000X
Licensed Practical Nurse
Primary
LPN0000052001
TN
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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