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Search › Tennessee › 363LF0000X

Shasta Patrick, NP

NPI 1386414225 · on the registry since 2024

Practice

Address
380 W Broadway Blvd Ste 130
Jefferson City, TN 37760
Phone
(865) 475-4742
Fax
(833) 908-2080
Organisation at this address
Summit Medical Group,Pllc
Tennessee Cancer Specialists Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Additional practice sites

  • 8635 Middlebrook Pike, Knoxville, TN

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-04-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee