Shaunta Lea Roane, APRN, NP
Nurse Practitioner, Family in Bartlett, TN. Individual provider (NPI-1).
NPI number1982265088
StatusActive
Last updated in NPPESAug 14, 2019
Details
- NPI
- 1982265088
- Entity type
- Individual (NPI-1)
- Name
- Shaunta Lea Roane
- Credential
- APRN, NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 28, 2019
- Last updated
- Aug 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APN0000024910 | TN | Yes |
Practice location
6670 Stage RdBartlett, TN 38134-3810
Phone 901-384-9000
Mailing address
6670 Stage RdBartlett, TN 38134-3810
Phone 901-384-9000
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