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1083202725
JORDAN FRAZIER SHELBURNE
JOHNSON CITY, TN
NPI
1083202725
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TN 28750)
Enumeration Date
2021-01-07
Last Update Date
2021-11-03
Business Address
JORDAN FRAZIER SHELBURNE FNP
2410 SUSANNAH ST
JOHNSON CITY, TN 37601-1748
Phone number: 423-282-9011
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Mailing Address
JORDAN FRAZIER SHELBURNE FNP
4213 ANCHOR PT
KINGSPORT, TN 37664-2986
Phone number: 276-337-0478
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