| Doctor Name: | SHANNON DEAL |
| NPI Number: | 1093905648 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 12363 |
| Business Practice Address: | University Of Tn Martin Student Health Services 609 Lee Street Martin, TN - 382380001 |
| Business Phone Number: | 7318817750 |
| Business Fax Number: | 7318817752 |
| Mailing Address: | University Of Tn Martin Student Health Services, 609 Lee Street MARTIN |
| State: | TN |
| Postal Code: | 382380001 |
| Phone Number: | 7318817750 |
| Fax Number: | 7318817752 |
| NPI Enumeration Date: | 07/30/2007 |
| NPI Last Update Date: | 07/30/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 12363 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |