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NPI Code Detail

MEDICARE: MS. MARCHEL D TINNEY APN

MEDICARE: MS. MARCHEL D TINNEY APN
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 Practitioner12872TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111789785OTHERCAQH #

General Provider Information

NPI Number : 1831385376
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARCHEL D TINNEY APN
Provider Business Mailing Address
First Line : 4841 HIXSON PIKE STE A
Second Line :
City : HIXSON
State : TN
Zip : 37343-4431
Country : US
Telephone Number : 423-305-7980
Fax Number : 423-305-7981
Provider Business Practice Location Address
First Line : 4841 HIXSON PIKE
Second Line : SUITE A
City : HIXSON
State : TN
Zip : 37343-4431
Country : US
Telephone Number : 423-305-7980
Fax Number : 423-305-7981
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2007
Last Update Date : 07/22/2021

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