Individual
MELINDA BARKER-MUTCHMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
701 COUNTY SERVICES DR, COOKEVILLE, TN 38501-4338
(931) 528-2531
(931) 526-7451
Mailing address
1100 ENGLAND DR, COOKEVILLE, TN 38501-0924
(931) 528-7531
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
23084
TN
363LF0000X
Family Nurse Practitioner
23084
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q032588
—
TN
Enumeration date
08/26/2017
Last updated
03/09/2018
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