Shamblin, Jessica Claire

Shamblin, Jessica Claire is an individual health care provider with primary practice located at 988 Oak Ridge Tpke Ste 200 , Oak Ridge TN 37830-6919. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Shamblin, Jessica Claire can be contacted via phone (865) 483-4366.

Contact Information

Primary practice address
988 Oak Ridge Tpke Ste 200 Oak Ridge TN 37830-6919
Phone: (865) 483-4366
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 12233 Tennessee

Profile Details

NPI number 1265530620
LBN Legal business name Shamblin, Jessica Claire
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jun 24th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265530620 NPPES
Tennessee MEDICAID Q048117
Tennessee MEDICAID 33438181
Tennessee Other 4155652

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