Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | APN15529 | TN |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 15529 | TN |
NPI | 1184920886 |
---|---|
Provider Name | Miss Shelton Lacy Harrell |
First Address | Nashville, TN 37232-0001 |
Second Address | Nashville, TN 37232-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2011 |
Last Update Date | 19/10/2020 |