Dr. Shelby Kathryn Berry, CRNA
Nurse Anesthetist, Certified Registered in Jackson, TN. Individual provider (NPI-1).
NPI number1770131856
StatusActive
Last updated in NPPESJan 24, 2024
Details
- NPI
- 1770131856
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shelby Kathryn Berry
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2019
- Certification date
- Jan 22, 2024
- Last updated
- Jan 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 26404 | TN | Yes |
Other names
- Shelby Kathryn Tims (Former Name)
Practice location
155 Innovation DrJackson, TN 38305-3019
Phone 731-986-7259
Mailing address
965 Ridge Lake BlvdMemphis, TN 38120-9401
Phone 901-227-4692
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