Shackelford, Shanna

Shackelford, Shanna is an individual health care provider with primary practice located at 11100 Old Hwy 64 W , Bolivar TN 38008. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Shackelford, Shanna can be contacted via phone (901) 300-6808.

Contact Information

Primary practice address
11100 Old Hwy 64 W Bolivar TN 38008
Phone: (901) 300-6808
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26359 Tennessee

Profile Details

NPI number 1720639172
LBN Legal business name Shackelford, Shanna
Credentials DNP-APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2019
Last updated Oct 22nd, 2024 - about 2 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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