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Individual

REGENA SHELTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
421 OLD RICEVILLE RD STE 2, ATHENS, TN 37303-3074
(423) 744-8755
Mailing address
300 SUNNYSIDE AVE, ENGLEWOOD, TN 37329-3022
(423) 744-8755

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APN20663
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
APN20663
APN LICENSE
TN
Enumeration date
10/16/2015
Last updated
10/16/2015
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