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NPI Code Detail

MEDICARE: NOELLE KILEY PMH-NP

MEDICARE: NOELLE KILEY PMH-NP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner19180TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P01536965OTHERTNRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1APPLIED FOROTHERTNMAGELLEN / BCBST
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437476843
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOELLE KILEY PMH-NP
Provider Business Mailing Address
First Line : 300 20TH AVE N STE 403
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-5180
Country : US
Telephone Number : 615-284-7263
Fax Number : 615-284-7501
Provider Business Practice Location Address
First Line : 1020 N HIGHLAND AVE
Second Line :
City : MURFREESBORO
State : TN
Zip : 37130-2494
Country : US
Telephone Number : 615-396-6620
Fax Number : 615-396-6625
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2010
Last Update Date : 02/26/2019

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Directions to “ NOELLE KILEY PMH-NP” Practice Location

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