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Michelle Lee Shively, FNP-C
Family Nurse Practitioner in Bulls Gap, Tennessee
NPI 1679030829

Michelle Lee Shively is a Family Nurse Practitioner based in Mountain Home, TN and is specialized in Family. Michelle Lee Shively practices in Bulls Gap, TN and has the professional credentials of FNP-C. The NPI Number for Michelle Lee Shively is 1679030829 and holds a License No. 25495 (Tennessee).

The current practice location address for Michelle Lee Shively is 363 Pilot Mountain Rd, Bulls Gap, TN and can be reached out via phone at 423-754-3746.

Location: 363 Pilot Mountain Rd, Bulls Gap, TN, 37684-4000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679030829
Provider Name
Michelle Lee Shively
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
363 Pilot Mountain Rd, Bulls Gap, TN, 37684-4000
Phone Number
423-754-3746
Fax Number
Provider Enumeration Date
02/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
363 Pilot Mountain Rd
City
Bulls Gap
State
Tennessee
Zip
37711-2322
Phone Number
423-754-3746
Fax Number
person
Provider Business Mailing Address Details
Address
363 Pilot Mountain Rd
City
Bulls Gap
State
Tennessee
Zip
37711-2322
Phone Number
423-754-3746
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
25495 (Tennessee)
Definition
Definition to come...
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