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General NPI Number Information
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NPI Number | 1427457639
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Entity Type | Individual
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Provider Name | SHANNON LYNN SCOTT NP-C
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Gender | Female
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Dates
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Enumeration Date | 08/14/2014
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 262 DANNY THOMAS PL
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City | MEMPHIS
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State | TN
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Zip | 38105-3678
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Country | US
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Telephone | 15-953-3009
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Fax |
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Provider Business Mailing Address
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Address Line | 7027 AUTUMNHILL LN
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City | BARTLETT
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State | TN
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Zip | 38135-6404
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Country | US
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Telephone | 901-494-5299
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0000111526
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 14-129803-031
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | 2015021973
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 53-76640-031
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License Number State | KS
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Taxonomy #5
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 2015021974
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License Number State | MO
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 24846
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License Number State | TN
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