Doctor Name: | SHEILA MOREHEAD |
NPI Number: | 1356315931 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CFNP |
License Number: | APN0000005496 |
Business Practice Address: | 130 Independence Ln La Follette, TN - 377663031 |
Business Phone Number: | 4235621705 |
Business Fax Number: | 4235663718 |
Mailing Address: | Po Box 1409, 30 Ridgeway Court NORRIS |
State: | TN |
Postal Code: | 378281409 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/13/2006 |
NPI Last Update Date: | 06/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | APN0000005496 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |