Individual
SHANNON KAYE BEATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP
Contact information
Practice address
418 N WILLOW AVE, COOKEVILLE, TN 38501-2339
(866) 816-0433
Mailing address
275 CUMBERLAND BND, NASHVILLE, TN 37228-1805
(615) 726-3340
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
168988
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
22816
TN
Other
Enumeration date
09/22/2009
Last updated
03/17/2021
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