Provider Demographics
NPI:1154761542
Name:SHENANDOAH, CHENOA YOLANDA (APN)
Entity type:Individual
Prefix:MS
First Name:CHENOA
Middle Name:YOLANDA
Last Name:SHENANDOAH
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 N FOREST PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-5127
Mailing Address - Country:US
Mailing Address - Phone:865-263-2200
Mailing Address - Fax:865-263-2300
Practice Address - Street 1:318 N FOREST PARK BLVD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5127
Practice Address - Country:US
Practice Address - Phone:865-263-2200
Practice Address - Fax:865-263-2300
Is Sole Proprietor?:No
Enumeration Date:2013-06-28
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN17737363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN17737OtherTN APN LICENSE
TN149380OtherTN RN LICENSE