Healthcare Provider Details

I. General information

NPI: 1548269517
Provider Name (Legal Business Name): SHELLEY F HOOD CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2005
Last Update Date: 03/04/2025
Certification Date: 03/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 N DUNLAP ST
MEMPHIS TN
38103-2800
US

IV. Provider business mailing address

8010 STAGE HILLS BLVD
BARTLETT TN
38133-4032
US

V. Phone/Fax

Practice location:
  • Phone: 901-572-3060
  • Fax:
Mailing address:
  • Phone: 901-291-2427
  • Fax: 901-379-0771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number810331
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number118338
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: