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General NPI Number Information
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NPI Number | 1316334568
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Entity Type | Individual
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Provider Name | MICHELLE TYRRELL FNP-C, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/24/2015
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Last Update Date | 05/24/2025
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Provider Practice Location Address
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Address Line | 1208 CHOCTAW TRL
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City | BRENTWOOD
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State | TN
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Zip | 37027-7410
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Country | US
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Telephone | 615-645-3031
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Fax |
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Provider Business Mailing Address
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Address Line | 1208 CHOCTAW TRL
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City | BRENTWOOD
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State | TN
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Zip | 37027-7410
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Country | US
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Telephone | 615-645-3031
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 25197
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 25197
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License Number State | TN
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