Individual
MICHELLE D COOK BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
353 NEW SHACKLE ISLAND RD STE 300C, HENDERSONVILLE, TN 37075-2384
(616) 515-1900
(615) 292-4633
Mailing address
2400 PATTERSON ST STE 502, NASHVILLE, TN 37203-6511
(615) 515-1900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1900
TN
363AM0700X
Medical Physician Assistant
PA501
KY
363AS0400X
Surgical Physician Assistant
501
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1531508
—
TN
01
—
4344466
BCBS
TN
01
—
P01161026
RR MEDICARE
TN
Enumeration date
06/16/2006
Last updated
01/04/2022
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