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Individual
MRS. MICHELLE LEE MANUEL
Active
Individual
MRS. MICHELLE LEE MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
23849
TN
363LF0000X
Family Nurse Practitioner
Primary
23849
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q035347
—
TN
Enumeration date
03/20/2018
Last updated
08/31/2022
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