MEDICARE: ROCHELLE MCLARTY 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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	162588	TN

General Provider Information

NPI Number	:	1952256455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROCHELLE MCLARTY PMHNP-BC

Provider Business Mailing Address
First Line	:	7461 S GERMANTOWN SQ
Second Line	:
City	:	GERMANTOWN
State	:	TN
Zip	:	38138-4811
Country	:	US
Telephone Number	:	901-326-0955
Fax Number	:	901-326-0955

Provider Business Practice Location Address
First Line	:	7461 S GERMANTOWN SQ
Second Line	:
City	:	GERMANTOWN
State	:	TN
Zip	:	38138-4811
Country	:	US
Telephone Number	:	901-326-0955
Fax Number	:	901-326-0955

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

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

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