Individual
SHANNON BONTEMPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 HARBOR RIDGE LN S, MEMPHIS, TN 38103-0843
(901) 240-3073
Mailing address
111 HARBOR RIDGE LN S, MEMPHIS, TN 38103-0843
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN13465
TN
367500000X
Certified Registered Nurse Anesthetist
APRN11031852
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04555319
—
MS
05
—
1509642
—
TN
05
—
186143001
—
AR
01
—
4200126
BLUE CROSS
TN
Enumeration date
05/19/2008
Last updated
02/10/2026
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