Noblin, Shannon N

Noblin, Shannon N is an sole proprietor health care provider with primary practice located at 1900 Exeter Rd Suite 210, Germantown TN 38138-2954. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Noblin, Shannon N can be contacted via phone (901) 818-2160.

Contact Information

Primary practice address
1900 Exeter Rd Suite 210 Germantown TN 38138-2954
Phone: (901) 818-2160
Fax: (901) 682-9522
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN 123066 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APN 12008 Tennessee

Profile Details

NPI number 1003868985
LBN Legal business name Noblin, Shannon N
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2006
Last updated Jun 9th, 2011 - about 13 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 1003868985 NPPES
Missouri MEDICAID 911170702
Missouri MEDICAID 3636150
Missouri Other P00292170
Missouri Other 4124941
Missouri MEDICAID 02434069
Missouri MEDICAID 167792001

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