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NPI Code Detail

MEDICARE: MRS. ABBY ELIZABETH DELASHMIT PMHNP-BC

MEDICARE: MRS. ABBY ELIZABETH DELASHMIT PMHNP-BC
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 Practitioner33243TN

General Provider Information

NPI Number : 1801594171
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ABBY ELIZABETH DELASHMIT PMHNP-BC
Provider Business Mailing Address
First Line : 177 WOODLAWN SHORES RD
Second Line :
City : SUGAR TREE
State : TN
Zip : 38380-5431
Country : US
Telephone Number : 731-733-2015
Fax Number :
Provider Business Practice Location Address
First Line : 726 KENTUCKY AVE S
Second Line :
City : PARSONS
State : TN
Zip : 38363-3105
Country : US
Telephone Number : 731-847-6371
Fax Number : 731-847-2671
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2023
Last Update Date : 02/16/2023

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