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Individual
SHANNON N EMMERT
Active
Individual
SHANNON N EMMERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0207068
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521248
—
TN
Enumeration date
12/26/2007
Last updated
04/10/2019
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