SHAUNA DARLENE MACK


Address: 145 W 4th St Ste 201, Cookeville, TN 38501-2476
Phone: 9317832143

SHAUNA DARLENE MACK (NPI# 1134677727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134677727
Entity Type Individual
Full Name SHAUNA DARLENE MACK
Credential CRNP
Practice Address 145 W 4th St Ste 201
Cookeville
TN 38501-2476
Mailing Address Po Box 708760
Sandy
UT 84070-8760
Practice Telephone 9317832143
Mailing Telephone 8013529500
Mailing Fax Number 8013527976
Enumeration Date 2016-09-13
Last Update Date 2020-03-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN616820 PA Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
SP016657 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 145 W 4TH ST STE 201
City COOKEVILLE
State TN
Zip Code 38501-2476

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801899224 David James Henson Internal Medicine 145 W 4th St Ste 201, Cookeville, TN 38501-2476 2005-05-31
1396186466 Kaushal Kantibhai Patel Internal Medicine 145 W 4th St Ste 201, Cookeville, TN 38501-2476 2013-07-17
1053667980 Hafiza Sobia Arshad Internal Medicine 145 W 4th St Ste 201, Cookeville, TN 38501-2476 2012-07-29
1982800603 Hima B Kona Internal Medicine 145 W 4th St Ste 201, Cookeville, TN 38501 2007-06-21
1083647275 Mary Lou Cameron Fornehed Nurse Practitioner 145 W 4th St Ste 201, Cookeville, TN 38501 2006-07-09
1902839806 Bernadette L Hee Internal Medicine 145 W 4th St Ste 201, Cookeville, TN 38501 2006-07-07
1609855063 Luis R Urbina Specialist 145 W 4th St Ste 201, Cookeville, TN 38501-2476 2006-01-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811596711 Results-ast Jv, LLC Physical Therapist 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 2020-10-21
1376167080 Melinda Jane Jetter Registered Nurse 320 North Willow Avenue, Cookeville, TN 38501 2020-05-29
1366950875 Tara Beth Smith Occupational Therapist 315 N Washington Ave Ste 240, Cookeville, TN 38501 2018-01-18
1669990339 Tonya Rachelle Perry Counselor 13 South Jefferson Ave, Cookeville, TN 38501 2017-09-01
1659896207 Dustin Chase Rich Physical Therapist 105 S. Willow Ave, #100, Cookeville, TN 38501 2017-08-04
1487009668 Holly Young Physical Therapist 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 2016-04-26
1194190306 Johnna Sprague Nurse Practitioner 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 2015-12-14
1881099885 Carlos Alberto Podesta Internal Medicine 238 W 4th St Ste 200, Cookeville, TN 38501 2014-11-03
1124445002 Shashank Sarvepalli Internal Medicine 1 Medical Center Blvd Ste D, Cookeville, TN 38501 2014-03-27
1689095762 Kendra Hicks Licensed Practical Nurse 701 County Services Drive, Cookeville, TN 38501 2013-12-17
Find all providers in zip 38501

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356824379 Natashia Melton Nurse Practitioner 1271 Walton Ln, Cookeville, TN 38501-1866 2018-09-14
1215414628 Danny Miller Nurse Practitioner 606 E Spring St Ste B, Cookeville, TN 38501-5067 2018-07-27
1851893028 Sarah Delk Nurse Practitioner 105 S Willow Ave Ste 100, Cookeville, TN 38501-4668 2018-03-05
1396102521 British Bates Nurse Practitioner 1644 E Spring St, Cookeville, TN 38506-4317 2016-01-19
1194190306 Johnna Sprague Nurse Practitioner 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 2015-12-14
1790113553 Hometown Family Care, LLC Nurse Practitioner 675 B South Jefferson Avenue, Cookeville, TN 38501-0950 2013-10-14
1962740217 Christie Hummel Nurse Practitioner 112 N. Walnut Ave, Cookeville, TN 38501 2013-01-22
1922344761 Grant P Hall Nurse Practitioner 1362 Ivy Ln, Cookeville, TN 38501-3057 2012-12-26
1740539063 Jennifer Lynn Lee Nurse Practitioner 4725 Maple Shade Cir, Cookeville, TN 38501-0829 2012-08-31
1780961169 Heather Harden Cathey Nurse Practitioner 1120 Sam's Street, Cookeville, TN 38506 2011-11-14
Find all providers in COOKEVILLE

Competitor

Search similar providers

City COOKEVILLE
Zip Code 38501

Improve Information

Please comment or provide details below to improve the information on SHAUNA DARLENE MACK.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches