DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MYKALAH RUDD RN

MEDICARE: MYKALAH RUDD 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
1163W00000XRegistered Nurse258800TN

General Provider Information

NPI Number : 1740148154
Entity Type Code : Individual
Provider Name (Legal Business Name) : MYKALAH RUDD RN
Provider Business Mailing Address
First Line : 417 WINGFIELD DR
Second Line :
City : CLARKSVILLE
State : TN
Zip : 37043-2186
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 330 PAGEANT LN
Second Line :
City : CLARKSVILLE
State : TN
Zip : 37040-3854
Country : US
Telephone Number : 931-648-5747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2026
Last Update Date : 01/13/2026

Similar Medicare Providers

1649259367 — TENNESEE DEPARTMENT OF HEALTH
Practice Location Address:
330 PAGEANT LN
CLARKSVILLE, TN
37040-3854
Practice Phone: 931-648-7280
Practice Fax: 931-648-7299
1790866614 — MARCOS ARANCIBIA M.D.
Practice Location Address:
330 PAGEANT LN
CLARKSVILLE, TN
37040-3854
Practice Phone: 931-648-5747
Practice Fax: 931-645-9019
1194878629 — STATE OF TENNESSEE
Practice Location Address:
330 PAGEANT LN
CLARKSVILLE, TN
37040-3854
Practice Phone: 931-648-5747
Practice Fax: 931-645-9019
1942423512 — CHARLENE BARTHELEMY RN
Practice Location Address:
330 PAGEANT LN
CLARKSVILLE, TN
37040-3854
Practice Phone: 931-648-5747
Practice Fax: 931-645-9019
1184847774 — MARILYN J. CARROLL RN
Practice Location Address:
330 PAGEANT LN
CLARKSVILLE, TN
37040-3854
Practice Phone: 931-648-5747
Practice Fax: 931-645-9019
1164645743 — MARGARET T. BENDORF RN
Practice Location Address:
330 PAGEANT LN
CLARKSVILLE, TN
37040-3854
Practice Phone: 931-648-5747
Practice Fax: 931-645-9019

Directions to “ MYKALAH RUDD RN” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.