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NPI Code Detail

MEDICARE: ERIKA CHARISSE SCIVALLY RN

MEDICARE: ERIKA CHARISSE SCIVALLY RN
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
1163WS0200XSchool Registered Nurse289299TN

General Provider Information

NPI Number : 1407710171
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIKA CHARISSE SCIVALLY RN
Provider Business Mailing Address
First Line : 3620 GEORGIA CT
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-3845
Country : US
Telephone Number : 615-403-1715
Fax Number :
Provider Business Practice Location Address
First Line : 2500 CHARLOTTE AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-4129
Country : US
Telephone Number : 615-340-7781
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2025
Last Update Date : 12/16/2025

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Directions to “ ERIKA CHARISSE SCIVALLY RN” Practice Location

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