Organization
CHILDRESS VALUE CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MULLISSA MICHELLE CHILDRESS FNP (MEMBER)
(615) 600-0253
Entity
Organization
Contact information
Practice address
5300 BRIGHT SUN CT, LAS VEGAS, NV 89130-3728
(615) 600-0253
Mailing address
301 PLUS PARK BLVD STE 215, NASHVILLE, TN 37217-1118
(615) 600-0253
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN88172
NV
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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