Provider Demographics
NPI:1134255086
Name:SHEARON, KATHERINE COBLE (RN)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:COBLE
Last Name:SHEARON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 IDLE DR
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37160-5108
Mailing Address - Country:US
Mailing Address - Phone:931-684-5961
Mailing Address - Fax:
Practice Address - Street 1:CORDELL HULL BUILDING FL 4
Practice Address - Street 2:425 5TH AVENUE NORTH
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37243-0001
Practice Address - Country:US
Practice Address - Phone:615-532-2968
Practice Address - Fax:615-532-2286
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000032397163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse