Individual
SHANNON HANSEN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
917 W WALNUT ST, JOHNSON CITY, TN 37604-6527
(423) 439-6464
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
53315
TN
2084P0800X
Psychiatry Physician
Primary
53315
TN
2084P0800X
Psychiatry Physician
LL30894
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q065146
—
TN
Enumeration date
06/23/2008
Last updated
09/17/2025
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