Miracle, Shannon Marie

Miracle, Shannon Marie is an individual health care provider with primary practice located at 511 8Th St , Clarksville TN 37040-3093. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Miracle, Shannon Marie can be contacted via phone (931) 920-7200.

Contact Information

Primary practice address
511 8Th St Clarksville TN 37040-3093
Phone: (931) 920-7200
Fax: (931) 920-7206
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X 00119156 Tennessee

Profile Details

NPI number 1144350422
LBN Legal business name Miracle, Shannon Marie
Credentials Certified in Nursing Administration (CNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Jul 8th, 2007 - about 19 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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