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NPI Code Detail

MEDICARE: MICHELLE RAINEY FNP

MEDICARE:   MICHELLE  RAINEY  FNP
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
1363LF0000XFamily Nurse Practitioner28888TN

General Provider Information

NPI Number : 1558958983
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE RAINEY FNP
Provider Business Mailing Address
First Line : 401 WINDSOR GREEN CT STE 101
Second Line :
City : GOODLETTSVILLE
State : TN
Zip : 37072-2237
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 401 WINDSOR GREEN CT STE 101
Second Line :
City : GOODLETTSVILLE
State : TN
Zip : 37072-2237
Country : US
Telephone Number : 615-859-8488
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/31/2020
Last Update Date : 02/10/2022

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Directions to “ MICHELLE RAINEY FNP” Practice Location

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