Shannon Michelle Mack, RN
Registered Nurse, School in Nashville, TN. Individual provider (NPI-1).
NPI number1982434445
StatusActive
Last updated in NPPESAug 7, 2024
Details
- NPI
- 1982434445
- Entity type
- Individual (NPI-1)
- Name
- Shannon Michelle Mack
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2024
- Certification date
- Aug 7, 2024
- Last updated
- Aug 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WS0200X | Registered Nurse, School | 249672 | TN | Yes |
Practice location
2500 Charlotte AveNashville, TN 37209-4129
Phone 615-340-7781
Mailing address
2500 Charlotte AveNashville, TN 37209-4129
Phone 615-340-7781
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