JORDAN FRAZIER SHELBURNE

JOHNSON CITY, TN
NPI1083202725
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: TN  28750)
Enumeration Date2021-01-07
Last Update Date2021-11-03
Business Address
JORDAN FRAZIER SHELBURNE FNP
2410 SUSANNAH ST
JOHNSON CITY, TN 37601-1748
Phone number: 423-282-9011
Mailing Address
JORDAN FRAZIER SHELBURNE FNP
4213 ANCHOR PT
KINGSPORT, TN 37664-2986
Phone number: 276-337-0478
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