Gail L Shutt, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN5494 Issued in TN

Practice address

289 Daves Hollow Rd
Fayetteville, TN 37334-6506

Phone

(931) 433-3143

NPI assigned

Oct 6, 2009

Last updated

Oct 6, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254787200000",
    "number": "1760717953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 DAVES HOLLOW RD",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373346506",
            "telephone_number": "931-433-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 DAVES HOLLOW RD",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373346506",
            "telephone_number": "931-433-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUTT",
        "first_name": "GAIL",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-06",
        "last_updated": "2009-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN5494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Fayetteville, TN
• Providers in Fayetteville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.