Individual
SHANNON RENEE FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1215 12TH AVE S, SUITE 3108, NASHVILLE, TN 37203-4922
(615) 343-6336
(615) 343-1966
Mailing address
1215 12TH AVE S, SUITE 3108, NASHVILLE, TN 37203-4922
(615) 343-6336
(615) 343-1966
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
14658
TN
Other
Enumeration date
01/15/2010
Last updated
03/28/2016
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