MEDICARE: MICHELLE VERNON PMHNP

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	163W00000X	Registered Nurse	299684	NC
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	5024432	NC

General Provider Information

NPI Number	:	1336637677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE VERNON PMHNP

Provider Business Mailing Address
First Line	:	105 LOUISIANA AVE
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28806-3421
Country	:	US
Telephone Number	:	608-588-5669
Fax Number	:	608-588-5669

Provider Business Practice Location Address
First Line	:	105 LOUISIANA AVE
Second Line	:
City	:	ASHEVILLE
State	:	NC
Zip	:	28806-3421
Country	:	US
Telephone Number	:	608-588-5669
Fax Number	:	608-588-5669

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

Provider Enumeration Date	:	04/23/2018
Last Update Date	:	06/12/2026

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Directions to “ MICHELLE VERNON PMHNP” Practice Location

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