Individual
STACEY MILLER SHANDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
90 YUM YUM RD, SOMERVILLE, TN 38068-4541
(901) 465-5243
(901) 465-5245
Mailing address
PO BOX 188, SOMERVILLE, TN 38068-0188
(901) 465-5243
(904) 465-5245
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
257739
TN
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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