Shelly J Mcintosh in Johnson City - Family
Shelly J Mcintosh - NPI 1003872623
Shelly J Mcintosh is a Family in Johnson City, Tennessee. Shelly J Mcintosh practices all healthcare services and medical treatments related to Family. The NPI Number for Shelly J Mcintosh is 1003872623. The last update date is 2020-05-02.
Shelly J Mcintosh's current location address is 215 E Springbrook Dr, Johnson City, Tennessee. You can contact this provider via phone number 4237945520 and fax number 4232826940. The mailing address for Shelly J Mcintosh is 215 E Springbrook Dr, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Name | Shelly J Mcintosh |
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Address | 215 E Springbrook Dr, Johnson City, Tennessee |
Phone Number | 4237945520 |
Fax Number | 4232826940 |
Sole Proprietor | N |
Credentials | FNP |
NPI Number Detail
NPI Number | 1003872623 |
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Provider Enumeration Date | 2006-04-22 |
Last Updated Date | 2020-05-02 |
Provider Mailing Address Detail
Address | 215 E Springbrook Dr |
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City | Johnson City |
State | Tennessee (TN) |
Post Code | 376011761 |
Phone Number | 4237945520 |
Fax Number | 4232826940 |
Provider's Primary Taxonomy Detail
Speciality | Family |
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Taxonomy | 363Lf0000X |
Licence No | RN127044 |
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
3643640 | TN | -- | |
Q007095 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Shelly J Mcintosh by the Centers for Medicare & Medicaid Services?
The Shelly J Mcintosh has been issued the NPI (National Provider Identifier) 1003872623 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Shelly J Mcintosh's physical address?
The Shelly J Mcintosh is physically located at 215 E Springbrook Dr, in the city of Johnson City, TN, with the postal code 376011761.
What is Shelly J Mcintosh's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shelly J Mcintosh's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.
On what date did Shelly J Mcintosh receive its 1003872623 assignment from the Centers for Medicare & Medicaid Services?
The Shelly J Mcintosh was assigned its 1003872623 on 2006-04-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Shelly J Mcintosh last refreshed?
The information related to the Shelly J Mcintosh, including its address, specialty, and other relevant details, was last updated on 2020-05-02.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN