MEDICARE: MICHELLE LEE SLOAN APRN, FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	23851	TN

General Provider Information

NPI Number	:	1083117329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE LEE SLOAN APRN, FNP-C

Provider Business Mailing Address
First Line	:	3726 MANSON PIKE APT 1112
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37129-3144
Country	:	US
Telephone Number	:	615-557-2549
Fax Number	:

Provider Business Practice Location Address
First Line	:	588 FORTRESS BLVD
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37128-4128
Country	:	US
Telephone Number	:	615-410-9360
Fax Number	:	615-893-4021

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2018
Last Update Date	:	05/01/2020

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