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Individual

MR. JOSEPH BROCK SHEMWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
7900 AIRWAYS BLVD STE 101, SOUTHAVEN, MS 38671-4113
(662) 349-6950
Mailing address
PO BOX 381468, GERMANTOWN, TN 38183-1468

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28478
TN
363LF0000X
Family Nurse Practitioner
Primary
904689
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q076393
TN
Enumeration date
07/09/2020
Last updated
02/10/2026
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