Doctor Name: | MS. ANGELA REBECCA SHEARS |
NPI Number: | 1285054809 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | APN0000018122 |
Business Practice Address: | 162 Sharp And Perkins Rd Jacksboro, TN - 377572507 |
Business Phone Number: | 4235628351 |
Business Fax Number: | |
Mailing Address: | Po Box 418, JACKSBORO |
State: | TN |
Postal Code: | 377570418 |
Phone Number: | 4235628351 |
Fax Number: | |
NPI Enumeration Date: | 04/22/2014 |
NPI Last Update Date: | 04/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | APN0000018122 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |