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Contact Information

ALESHA A EZELLE, APRN
1636 E MAIN ST
HUMBOLDT, TN38343-2904
 Phone: 731-784-7833
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ALESHA A EZELLE · (Female)

NPI # 1710662390
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 06/20/2023
Last updated 02/05/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 202325634
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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