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General NPI Number Information
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NPI Number | 1912212879
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Entity Type | Individual
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Provider Name | SCARLETT MARIE MYNATT APN FNP PMHNP
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Gender | Female
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Dates
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Enumeration Date | 08/16/2010
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 1066 RUTLEDGE PIKE
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City | BLAINE
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State | TN
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Zip | 37709-3027
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Country | US
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Telephone | 865-465-3310
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Fax | 865-465-3307
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Provider Business Mailing Address
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Address Line | 315 WHITE OAK DR
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City | SEYMOUR
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State | TN
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Zip | 37865-5128
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Country | US
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Telephone |
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Fax | 865-281-1426
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 15560
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 145791
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 15560
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License Number State | TN
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