Individual
MICHELLE BAISDEN PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7714 CONNER RD STE 101, POWELL, TN 37849-3559
(865) 212-6441
(865) 212-6446
Mailing address
7714 CONNER RD STE 101, POWELL, TN 37849-3559
(865) 212-6441
(865) 212-6446
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APN23943
TN
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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