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1841735321
SHELBY FOWLER
JACKSON, TN
NPI
1841735321
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: TN 22164)
Enumeration Date
2016-12-20
Last Update Date
2022-12-07
Business Address
SHELBY FOWLER A.P.N
2863 HIGHWAY 45 BYP
JACKSON, TN 38305-3618
Phone number: 731-664-1375
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Mailing Address
SHELBY FOWLER A.P.N
PO BOX 400
JACKSON, TN 38302-0400
Phone number: 731-425-5752
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