Individual
SHASSIDY PAIGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2838 HICKORY HILL RD STE 11, MEMPHIS, TN 38115-2161
(901) 304-1120
Mailing address
3983 LAKEWOOD CV, MEMPHIS, TN 38128-4403
(901) 304-1120
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
275277
TN
164W00000X
Licensed Practical Nurse
93219
TN
Other
Enumeration date
06/19/2023
Last updated
05/04/2026
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