Individual
MS. SHANTRELLE EDMONDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4841 MYRA DR, HERMITAGE, TN 37076-2649
(615) 578-2714
Mailing address
4841 MYRA DR, HERMITAGE, TN 37076-2649
(615) 578-2714
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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