Individual
SHELLY COOPER HARDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
425 CUMBERLAND ST, CHATTANOOGA, TN 37404-1909
(423) 698-0802
(423) 697-1752
Mailing address
425 CUMBERLAND ST, CHATTANOOGA, TN 37404-1909
(423) 698-0802
(423) 697-1752
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1234
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1234
REGISTERED NURSE
TN
Enumeration date
08/01/2012
Last updated
08/01/2012
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