Individual
EBONIQUE ROCHELLE SHANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-5829
(615) 322-5000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
34679
TN
367A00000X
Advanced Practice Midwife
Primary
34679
TN
Other
Enumeration date
10/05/2023
Last updated
12/06/2023
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