Healthcare Provider Details

I. General information

NPI: 1386318418
Provider Name (Legal Business Name): TABATHA MECHELLE DILLON MSN, APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2021
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73 TOWER WAY
ALLARDT TN
38504-5129
US

IV. Provider business mailing address

73 TOWER WAY
ALLARDT TN
38504-5129
US

V. Phone/Fax

Practice location:
  • Phone: 931-704-6339
  • Fax:
Mailing address:
  • Phone: 865-284-8644
  • Fax: 865-951-7283

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number29820
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: