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Individual

SHARON G. TRUMBLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP

Contact information

Practice address
1901 S SHADY ST, MOUNTAIN CITY, TN 37683-2021
(423) 727-1150
(423) 727-1152
Mailing address
PO BOX 70403, JOHNSON CITY, TN 37614-1703
(423) 439-4078

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
APN006383
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100036752
PHP
TN
01
133278
BLUECROSSBLUESHIELD
TN
05
3908051
TN
01
JOHN DEERE
TN01C3
TN
Enumeration date
07/05/2006
Last updated
01/31/2008
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