Healthcare Provider Details

I. General information

NPI: 1134032139
Provider Name (Legal Business Name): MIESHA JAMIE EDELEN M.S., M.H.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MEHARRY MEDICAL COLLEGE 1005 DR. D.B. TODD JR. BLVD. OFFICE OF STUDENT AFFAIRS
NASHVILLE TN
37208-3599
US

IV. Provider business mailing address

MEHARRY MEDICAL COLLEGE 1005 DR. D.B. TODD JR. BLVD. OFFICE OF STUDENT AFFAIRS
NASHVILLE TN
37208-3599
US

V. Phone/Fax

Practice location:
  • Phone: 615-327-6000
  • Fax:
Mailing address:
  • Phone: 615-327-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number390200000X
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: