Provider Demographics
NPI:1023783420
Name:RAPPE, SHANNON RAE (DNP APRN)
Entity type:Individual
Prefix:
First Name:SHANNON
Middle Name:RAE
Last Name:RAPPE
Suffix:
Gender:F
Credentials:DNP APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 ADVENTURE CT
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-3700
Mailing Address - Country:US
Mailing Address - Phone:615-939-1024
Mailing Address - Fax:
Practice Address - Street 1:7175 NOLENSVILLE RD STE 109
Practice Address - Street 2:
Practice Address - City:NOLENSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37135-9655
Practice Address - Country:US
Practice Address - Phone:615-527-6872
Practice Address - Fax:615-727-7230
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-09
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN29793363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily