Individual
MARISSA SHULRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2818 HILLSIDE DR, NASHVILLE, TN 37212-4102
(201) 953-5578
Mailing address
461 21ST AVE S, NASHVILLE, TN 37240-1104
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
279453
TN
363LF0000X
Family Nurse Practitioner
0024194855
VA
Other
Enumeration date
02/08/2021
Last updated
10/15/2025
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