Individual
DOROTHY GAIL SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
201 WILLIAM D JONES BLVD, FAYETTEVILLE, TN 37334-2730
(931) 393-9151
Mailing address
1855 FALL RIVER RD, GOODSPRING, TN 38460-5290
(931) 292-3918
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
95879
TN
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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