| Doctor Name: | PHYLISS A. SHULTS |
| NPI Number: | 1013349067 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 17605 |
| Business Practice Address: | 641 Middle Creek Rd Sevierville, TN - 378625014 |
| Business Phone Number: | 8654280583 |
| Business Fax Number: | 8654281625 |
| Mailing Address: | 1225 E Weisgarber Rd, Suite 200 KNOXVILLE |
| State: | TN |
| Postal Code: | 379092604 |
| Phone Number: | 8655844747 |
| Fax Number: | 8655841363 |
| NPI Enumeration Date: | 08/01/2013 |
| NPI Last Update Date: | 04/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 17605 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |