Provider Demographics
NPI:1932546124
Name:MCDONALD, SHANDY LYNN (PMHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:SHANDY
Middle Name:LYNN
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:MS
Other - First Name:SHANDY
Other - Middle Name:LYNN
Other - Last Name:GILES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6650 CAROTHERS PKWY SUITE 225
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067
Mailing Address - Country:US
Mailing Address - Phone:855-560-4999
Mailing Address - Fax:877-944-1405
Practice Address - Street 1:6650 CAROTHERS PKWY
Practice Address - Street 2:SUITE 225
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067
Practice Address - Country:US
Practice Address - Phone:855-560-4999
Practice Address - Fax:877-944-1405
Is Sole Proprietor?:No
Enumeration Date:2013-05-28
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000017632363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health