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Shanle G Scott

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2100 W Clinch Ave, Suite 220, Knoxville, TN 37916-2219

PECOS Enrollment

This provider is enrolled in PECOS as SHANLE SCOTT.

Based on the most recent information from CMS, provider Shanle G Scott is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1184850257
Provider Type
Individual
Full Name
Scott, Shanle G
Credential
FNP

Gender
Female
Sole Proprietor
No
Enumeration Date
6/3/2009
Last Updated
7/14/2015

Contact Information

Practice Location

2100 W Clinch Ave, Suite 220, Knoxville, TN 37916-2219

(865) 546-3111

(865) 541-8629

Mailing Location

PO Box 15004, Knoxville, TN 37901-5004

(865) 541-8895

(965) 633-4808

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APN14158 Tennessee

Shanle G Scott

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Hull, Darrel T

Montgomery, Olivia R

Mcelmeel, Amanda

Wallace, Elizabeth Ann

Huntsinger, Kerry E.

Rouse, Mary Katrina Quist

Williams, Alkiva Nicole

Haun, Ashley L

Payne, Rachel

Keener, Sydney