NPI 1083082697

Nicole Shelby, LPN

Practitioner Community Health Worker Knoxville, TN

Practice location

Address: 140 Dameron Ave, Knoxville, TN 37917-6413
Phone: (865) 215-5320
Mailing address: 4405 Woodvale Dr, Knoxville, TN 37918-5124

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X Licence 82964 (TN)

Other Community Health Worker providers in Tennessee →

Registry record

NPI: 1083082697
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Sep 2015
Record last updated: 14 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.