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1720639172
SHANNA SHACKELFORD
BOLIVAR, TN
NPI
1720639172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TN 26359)
Enumeration Date
2019-09-26
Last Update Date
2024-10-22
Business Address
Dr. SHANNA SHACKELFORD DNP-APRN
11100 OLD HWY 64 W
BOLIVAR, TN 38008
Phone number: 901-300-6808
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Mailing Address
Dr. SHANNA SHACKELFORD DNP-APRN
9245 POPLAR AVE STE 368
GERMANTOWN, TN 38138-7931
Phone number: 901-300-6808
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