Pamela Nmi Stanton-Shelton, REGISTERED NURSE

Individual provider Active NPI Community Health Registered Nurse · Greeneville, TN

NPI 1487973905 · NPPES record last updated May 24, 2010

Key facts

NPI
1487973905
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Registered Nurse 163WC1500X
License
RN0000039896 (TN)
Practice address
810 W Church St
Greeneville, TN 37745-3285
Phone
(423) 798-1749
Fax
(423) 798-1755
NPI assigned
May 24, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN0000039896TNMDCommunity Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN0000039896 TN Yes

Addresses

Primary practice location

810 W Church St
Greeneville, TN 37745-3285

Mailing address

810 W Church St
PO Box 159
Greeneville, TN 37745-3285
Phone (423) 798-1749

Other providers in Greeneville, TN

All providers in Greeneville, TN · Community Health Registered Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.