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Organization

GLENNA W. LASHLEY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GLENNA WILLIS LASHLEY NP (OWNER/NURSE PRACTITIONER)
(423) 939-0525
Entity
Organization

Contact information

Practice address
503 WESTFIELD PL, JASPER, TN 37347-5144
(423) 939-0525
(423) 939-0318
Mailing address
503 WESTFIELD PL, JASPER, TN 37347-5144
(423) 939-0525
(423) 939-0378

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN18102
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q015651
TN
Enumeration date
05/11/2015
Last updated
06/11/2019
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