Individual
MRS. JANNA BETH SHAULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
295 SUMMAR DR, JACKSON, TN 38301-3905
(731) 421-6767
(731) 421-5148
Mailing address
6600 HIGHWAY 412 W, LEXINGTON, TN 38351-5405
(731) 968-8038
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000120991
TN
Other
Enumeration date
04/02/2007
Last updated
05/18/2011
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