Individual
ALESHA ADAMS EZELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1636 E MAIN ST, HUMBOLDT, TN 38343-2904
(731) 784-7833
Mailing address
1636 E MAIN ST, HUMBOLDT, TN 38343-2904
(731) 784-7833
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
202325634
TN
Other
Enumeration date
06/20/2023
Last updated
02/05/2024
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