Provider Demographics
NPI:1427759281
Name:WELDEN, SHAYLA CHEYENNE (APRN)
Entity type:Individual
Prefix:
First Name:SHAYLA
Middle Name:CHEYENNE
Last Name:WELDEN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:239 DAVENPORT RD
Mailing Address - Street 2:
Mailing Address - City:LA FOLLETTE
Mailing Address - State:TN
Mailing Address - Zip Code:37766-7031
Mailing Address - Country:US
Mailing Address - Phone:865-617-7606
Mailing Address - Fax:
Practice Address - Street 1:239 DAVENPORT RD
Practice Address - Street 2:
Practice Address - City:LA FOLLETTE
Practice Address - State:TN
Practice Address - Zip Code:37766-7031
Practice Address - Country:US
Practice Address - Phone:865-617-7606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-16
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN33552363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily