SHASTA PATRICK

JEFFERSON CITY, TN
NPI1386414225
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: TN  35037)
Enumeration Date2024-01-02
Last Update Date2025-04-28
Business Address
SHASTA PATRICK NP
380 W BROADWAY BLVD STE 130
JEFFERSON CITY, TN 37760-2602
Phone number: 865-475-4742
Mailing Address
SHASTA PATRICK NP
1275 DICK LONAS RD UNIT 101
KNOXVILLE, TN 37909-1383
Phone number: 865-584-4747
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