Whalio Doctors

NPI 1073987921

Shana Ingle

Practitioner Mental Illness Community Based Residential Treatment Facility Mount Juliet, TN

Practice location

Address
1550 Beckwith Rd, Mount Juliet, TN 37122-5104
Phone
(615) 582-4595
Fax
(615) 447-5981

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X Licence L000000017073 (TN)

Registry record

NPI
1073987921
Entity type
Individual
Sex (as registered)
Female
NPI issued
16 Nov 2015
Record last updated
16 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.