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1851945059
SHANDEE ELLIS
NEWPORT, TN
NPI
1851945059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 25462)
Enumeration Date
2019-07-26
Last Update Date
2019-07-26
Business Address
SHANDEE ELLIS
756 COSBY HWY
NEWPORT, TN 37821-3455
Phone number: 423-237-6546
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Mailing Address
SHANDEE ELLIS
PO BOX 1258
WAYNESBORO, TN 38485-1258
Phone number: 931-253-1110
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