Individual
SHANNON PORTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, WHNP-BC
Contact information
Practice address
330 23RD AVE N STE 250, NASHVILLE, TN 37203-6514
(615) 342-6880
Mailing address
330 23RD AVE N STE 250, NASHVILLE, TN 37203-6514
(615) 342-6880
Taxonomy
Speciality
Code
Description
License number
State
163WX0002X
High-Risk Obstetric Registered Nurse
205061
TN
363LW0102X
Women's Health Nurse Practitioner
Primary
36163
TN
Other
Enumeration date
02/02/2023
Last updated
06/17/2025
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