Individual provider · Type 1 NPI

Shannon R. Bodiford, FNP-BC

Family Nurse Practitioner · Knoxville, TN

NPI number 1972037000 Active

Practice location

2018 Western Ave
Knoxville, TN 37921-5718

Fax (865) 544-0480

Mailing address

1923 Sulphur Springs Rd
Morristown, TN 37813-5654

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X21117 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1972037000

Shannon R. Bodiford, FNP-BC's National Provider Identifier is 1972037000, issued on Apr 14, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Knoxville, TN. The record was last updated on Jan 12, 2021.