Individual
SHANNON RAE HORSTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2690 MADISON ST STE 130, CLARKSVILLE, TN 37043-6185
(931) 245-1701
Mailing address
2120 MEMORIAL DR, CLARKSVILLE, TN 37043-4437
(931) 241-8171
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
11/03/2022
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