| NPI | 1699474544 |
|---|---|
| Former Name | SHELBY LOGAN RAGLAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 38304) |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2025-06-17 |