MEDICARE: SHANNON PARSONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1770323800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNON PARSONS

Provider Business Mailing Address
First Line	:	282 POPPY PL
Second Line	:
City	:	LENOIR CITY
State	:	TN
Zip	:	37772-2041
Country	:	US
Telephone Number	:	404-563-3983
Fax Number	:

Provider Business Practice Location Address
First Line	:	9000 EXECUTIVE PARK DR STE A205
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37923-4618
Country	:	US
Telephone Number	:	865-236-0103
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2024
Last Update Date	:	06/08/2026

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Directions to “ SHANNON PARSONS ” Practice Location

Language	Start Address	Practice Location

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