Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shanna Nichole Blackwell, FNP-C

Individual provider Family Nurse Practitioner · NPI 1578302287

Shanna Nichole Blackwell, FNP-C is a Nurse Practitioner in Memphis, Tennessee. Qualified in 2023, 3 years ago. Practices with Specialty Physician Group LLC, a 101-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
3
Licensed in
TN
In the registry since
2024
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1211 Union Ave Ste 400
Memphis, TN 38104-6656
Phone: (901) 478-0650
Fax: (901) 726-4237
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1211 Union Ave Ste 965, Memphis, TN 38104-6638 — (901) 435-8550
  • 1251 Wesley Dr Ste 100, Memphis, TN 38116-6442 — (901) 435-8550

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 36123 (TN)

Record details

NPI number1578302287
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMay 22, 2024
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Specialty Physician Group Llc — 101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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