Search › Tennessee › 106S00000X
Shanail Mangrum, 12/18/2015
NPI 1154852168 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1250 Parkway Pl Apt F
Clarksville, TN 37042 - Phone
- (907) 347-0286
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-03-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee