Individual
SHAUNA SANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
3350 N GERMANTOWN RD, BARTLETT, TN 38133-4026
(901) 377-2111
Mailing address
PO BOX 381468, GERMANTOWN, TN 38183-1468
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2020014482
MO
363L00000X
Nurse Practitioner
Primary
30739
TN
363LA2100X
Acute Care Nurse Practitioner
2020014482
MO
363LA2100X
Acute Care Nurse Practitioner
Primary
30739
TN
363LA2100X
Acute Care Nurse Practitioner
APRN.CNP.0038521
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200001862
—
MS
05
—
Q071681
—
TN
Enumeration date
09/15/2020
Last updated
02/10/2026
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