Individual
DR. SHANNA AMISHA TOLBERT CRAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, ACNP-C
Contact information
Practice address
501 MARSHALL ST STE 104, JACKSON, MS 39202-1663
(601) 969-6404
(601) 973-4541
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R877592
MS
Other
Enumeration date
03/16/2013
Last updated
01/13/2020
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