Healthcare Provider Details

I. General information

NPI: 1316803554
Provider Name (Legal Business Name): MEGAN ALICIA SWAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/31/2025
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 MEDICAL CENTER PKWY STE 460
MURFREESBORO TN
37129-3181
US

IV. Provider business mailing address

14 AVERY CT
MANCHESTER TN
37355-7860
US

V. Phone/Fax

Practice location:
  • Phone: 615-239-2062
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number272372
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: