MEDICARE: JANELLE MARIE SCULLARK-MOROSE APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	18343	TN
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	3009823	KY
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1193539	TX
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	0024192965	VA
5	163W00000X	Registered Nurse	153059	TN

General Provider Information

NPI Number	:	1356764088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANELLE MARIE SCULLARK-MOROSE APRN

Provider Business Mailing Address
First Line	:	PO BOX 1803
Second Line	:
City	:	CORDOVA
State	:	TN
Zip	:	38088-1803
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4772 NAVY RD
Second Line	:
City	:	MILLINGTON
State	:	TN
Zip	:	38053-1927
Country	:	US
Telephone Number	:	901-333-3333
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2014
Last Update Date	:	01/30/2026

Similar Medicare Providers

1871587519 — PRIMARY HEALTHCARE OF MILLINGTON
Practice Location Address:

4772 NAVY RD
MILLINGTON, TN
38053-1927

Practice Phone: 901-873-4501
Practice Fax: 901-873-4501

1093779456 — DR. OMAR AHMAD M.D.
Practice Location Address:

4772 NAVY RD STE A
MILLINGTON, TN
38053-1927

Practice Phone: 901-873-0930
Practice Fax: 901-873-0931

1902921976 — DR. REGINA S LINDSEY M.D.
Practice Location Address:

4772 NAVY RD
MILLINGTON, TN
38053-1927

Practice Phone: 901-873-4501
Practice Fax: 901-873-4505

1275830978 — KAREN P WILLIAMS APN
Practice Location Address:

4772 NAVY RD STE A
MILLINGTON, TN
38053-1927

Practice Phone: 901-873-0930
Practice Fax: 901-873-0931

1013271485 — DR. HAMAD AHMAD MD
Practice Location Address:

4772 NAVY RD , SUITE A
MILLINGTON, TN
38053-1927

Practice Phone: 901-873-0930
Practice Fax: 901-873-0931

1831432350 — PRIMARY HEALTHCARE OF MILLINGTON
Practice Location Address:

4772 NAVY RD
MILLINGTON, TN
38053-1927

Practice Phone: 901-873-4501
Practice Fax: 901-873-4505

Directions to “ JANELLE MARIE SCULLARK-MOROSE APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.