Individual
MS. SHANILLE BOWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7174 BLUE GROUSE LN, MEMPHIS, TN 38125-4407
(773) 814-3402
Mailing address
7174 BLUE GROUSE LN, MEMPHIS, TN 38125-4407
(773) 814-3402
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
174N00000X
Lactation Consultant (Non-RN)
325452
TN
374J00000X
Doula
Primary
374J00000X
TN
Other
Enumeration date
08/29/2020
Last updated
09/01/2020
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