MEDICARE: MRS. MELISSA STENDER LASHOCK MSN, CPNP-AC

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	163WP0200X	Pediatric Registered Nurse	RN0000137525	TN
2	363LP0200X	Pediatric Nurse Practitioner	APN0000017091	TN
3	363LA2100X	Acute Care Nurse Practitioner	17091	TN

General Provider Information

NPI Number	:	1952655342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MELISSA STENDER LASHOCK MSN, CPNP-AC

Provider Business Mailing Address
First Line	:	3841 GREEN HILLS VILLAGE DR STE 200
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-2691
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 CHILDRENS WAY
Second Line	:	1014 VCH
City	:	NASHVILLE
State	:	TN
Zip	:	37232-9001
Country	:	US
Telephone Number	:	615-936-3898
Fax Number	:

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

Provider Enumeration Date	:	11/06/2012
Last Update Date	:	11/20/2024

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