SearchTennessee183500000X

Rebecca Shorter

NPI 1598158651 · on the registry since 2015

Practice

Address
1507 Odell Ave
Jefferson City, TN 37760
Phone
(865) 471-0366
Fax
(865) 471-3612
Organisation at this address
K-Va-T Food Stores, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
183500000X
183500000X
Also registered as
183500000X
Licence states on file
TN, NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-03-13

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