Individual
MICHELLE RENEE FORTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 CHURCH ST APT 2407, NASHVILLE, TN 37219-1843
(865) 456-1385
Mailing address
415 CHURCH ST APT 2407, NASHVILLE, TN 37219-1843
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
9498203
FL
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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