Individual
SHIRLEY SPILLER-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADMINISTRATOR/OPERAT
Contact information
Practice address
2051 MONTREAT DR, MEMPHIS, TN 38134-6613
(901) 598-7437
(901) 388-7366
Mailing address
2051 MONTREAT DR, MEMPHIS, TN 38134-6613
(901) 598-7437
(901) 388-7366
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0000000565
TN
372500000X
Chore Provider
0000000565
TN
372600000X
Adult Companion
0000000565
TN
3747A0650X
Attendant Care Provider
0000000565
TN
3747P1801X
Personal Care Attendant
0000000565
TN
376G00000X
Nursing Home Administrator
0000000565
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H445488
—
TN
Enumeration date
12/23/2014
Last updated
12/23/2014
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