Tenecia Renee Brown-Shearin

Individual provider Active NPI Case Manager/Care Coordinator · Courtland, VA

NPI 1821362856 · NPPES record last updated Mar 8, 2012

Key facts

NPI
1821362856
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
22038 High St
Courtland, VA 23837-1131
Phone
(757) 556-6390
NPI assigned
Mar 8, 2012
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

22038 High St
Courtland, VA 23837-1131

Mailing address

22038 High St
Courtland, VA 23837-1131
Phone (757) 556-6390

Other providers in Courtland, VA

All providers in Courtland, VA · Case Manager/Care Coordinator in Virginia

Sources for this page

Verify at the official NPI Registry.