Individual
MRS. SHANNON J TITUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
800 PARKS ST, MANCHESTER, TN 37355-2482
(931) 723-5134
(931) 723-5148
Mailing address
250 SHANTUS LN, LYNCHBURG, TN 37352-7454
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
0000111414
TN
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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