Individual
SHANNON M HEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
181 BRE AVE STE C, PULASKI, TN 38478-2944
(931) 363-3086
(931) 363-7928
Mailing address
181 BRE AVE STE C, PULASKI, TN 38478-2944
(931) 363-3086
(931) 363-7928
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
12056
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3642760
—
TN
05
—
3725122
—
TN
01
—
4125016
BCBS TN
TN
Enumeration date
12/13/2006
Last updated
07/01/2020
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