Doctor Name: | MRS. ALICE WARD SHOOK |
NPI Number: | 1144237033 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | RN0000143255 |
Business Practice Address: | 106 Holt Ct Greeneville, TN - 377436917 |
Business Phone Number: | 4234445838 |
Business Fax Number: | |
Mailing Address: | 184 Lorena Ln, JONESBOROUGH |
State: | TN |
Postal Code: | 376594493 |
Phone Number: | 8656171356 |
Fax Number: | |
NPI Enumeration Date: | 08/02/2006 |
NPI Last Update Date: | 04/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN0000143255 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |