Individual
SHANNON CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 541-5000
Mailing address
163 CROOKED CREEK LN, MEDINA, TN 38355-8931
(508) 209-3003
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
155447
TN
Other
Enumeration date
08/22/2025
Last updated
01/28/2026
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