Healthcare Provider Details

I. General information

NPI: 1871896357
Provider Name (Legal Business Name): JOYCE LAFOLLETTE SHEA CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/06/2010
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3815 HIGHWAY 66 S STE 5
ROGERSVILLE TN
37857-5197
US

IV. Provider business mailing address

3815 HIGHWAY 66 S STE 5
ROGERSVILLE TN
37857-5197
US

V. Phone/Fax

Practice location:
  • Phone: 423-293-0202
  • Fax:
Mailing address:
  • Phone: 423-293-0202
  • Fax: 423-293-0102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License NumberANP0000032931
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberANP0000032931
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number240519326
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: