SHANNA SHACKELFORD

BOLIVAR, TN
NPI1720639172
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: TN  26359)
Enumeration Date2019-09-26
Last Update Date2022-10-17
Business Address
DR. SHANNA SHACKELFORD DNP-APRN
11100 OLD HWY 64 W
BOLIVAR, TN 38008
Phone number: 901-674-0948
Mailing Address
DR. SHANNA SHACKELFORD DNP-APRN
9245 POPLAR AVE STE 368
GERMANTOWN, TN 38138-7931
Phone number: 901-674-0948
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