Healthcare Provider Details

I. General information

NPI: 1184231235
Provider Name (Legal Business Name): ALENE MCNEESE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2020
Last Update Date: 09/23/2020
Certification Date: 09/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83 BROOKWOOD TER
NASHVILLE TN
37205-1409
US

IV. Provider business mailing address

83 BROOKWOOD TER
NASHVILLE TN
37205-1409
US

V. Phone/Fax

Practice location:
  • Phone: 615-715-6537
  • Fax:
Mailing address:
  • Phone: 615-715-6537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0222X
TaxonomyCritical Care Pediatric Nurse Practitioner
License Number28073
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: