Individual provider · Type 1 NPI
Shanna Shackelford, DNP-APRN
Psychiatric/Mental Health Nurse Practitioner · Bolivar, TN
NPI number
1720639172
Active
Practice location
11100 Old Hwy 64 W
Bolivar, TN 38008
Mailing address
9245 Poplar Ave Ste 368
Germantown, TN 38138-7931
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 26359 (TN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1720639172
Shanna Shackelford, DNP-APRN's National Provider Identifier is 1720639172, issued on Sep 26, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bolivar, TN. The record was last updated on Oct 22, 2024.