Creighton, Shanna

Creighton, Shanna is an individual health care provider with primary practice located at 317 N Hickory Ave , Cookeville TN 38501-2428. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Creighton, Shanna can be contacted via phone (931) 528-7527.

Contact Information

Primary practice address
317 N Hickory Ave Cookeville TN 38501-2428
Phone: (931) 528-7527
Fax: (931) 372-8839
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 26199 Tennessee

Profile Details

NPI number 1457905895
LBN Legal business name Creighton, Shanna
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2019
Last updated Jul 24th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457905895 NPPES
Tennessee Other 26199 TN BOARD OF NURSING

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