MEDICARE: MRS. ALISHA N MASTERS FNP

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	363LF0000X	Family Nurse Practitioner	APN13374	TN

General Provider Information

NPI Number	:	1841462025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALISHA N MASTERS FNP

Provider Business Mailing Address
First Line	:	PO BOX 90
Second Line	:
City	:	CLARKRANGE
State	:	TN
Zip	:	38553-0118
Country	:	US
Telephone Number	:	931-310-2900
Fax Number	:

Provider Business Practice Location Address
First Line	:	234 CENTRAL AVE W
Second Line	:
City	:	JAMESTOWN
State	:	TN
Zip	:	38556-3557
Country	:	US
Telephone Number	:	931-879-8139
Fax Number	:	931-879-0221

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

Provider Enumeration Date	:	03/28/2008
Last Update Date	:	03/02/2026

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