Individual
SHAKENNA BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
501 E GREEN DR, HIGH POINT, NC 27260-6700
(336) 641-7688
Mailing address
501 E GREEN DR, HIGH POINT, NC 27260-6700
(336) 641-7688
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5012047
NC
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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