Individual
SHONDRA JELON MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1333 CARRIAGE PARC DR, CHATTANOOGA, TN 37421-7156
(423) 260-9342
Mailing address
1333 CARRIAGE PARC DR, CHATTANOOGA, TN 37421-7156
(423) 260-9342
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0000084073
TN
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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