Individual
MECHELLE T PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
209 GRACE CV, MEDINA, TN 38355-8785
(731) 783-0400
(731) 783-0402
Mailing address
PO BOX 100, MEDINA, TN 38355-0100
(731) 783-0400
(731) 783-0402
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
105786
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3902551
—
TN
01
—
4088128
BLUE CROSS BLUE SHIELD OF TN PIN
—
Enumeration date
04/05/2007
Last updated
10/30/2025
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