Individual
SHANE P STENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0001
(615) 322-3000
(615) 936-0605
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 936-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
42014
TN
207R00000X
Internal Medicine Physician
Primary
42014
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1507884
—
TN
01
—
4195025
BCBS
TN
01
—
7100048770
KENTUCKY MEDICAID
KY
01
—
9320200
AETNA
—
Enumeration date
01/04/2007
Last updated
02/26/2025
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