Provider Demographics
NPI:1699474544
Name:STRINGER, SHELBY LOGAN (PMHNP)
Entity type:Individual
Prefix:
First Name:SHELBY
Middle Name:LOGAN
Last Name:STRINGER
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 EASTGATE CIR APT A
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38506-5791
Mailing Address - Country:US
Mailing Address - Phone:931-239-3918
Mailing Address - Fax:
Practice Address - Street 1:39 E BOCKMAN WAY
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:TN
Practice Address - Zip Code:38583-2008
Practice Address - Country:US
Practice Address - Phone:931-239-3918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-01
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN215811163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty