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Individual

MEGAN MICHELLE MATHESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
5651 FRIST BLVD, SUITE 200, HERMITAGE, TN 37076-2054
(615) 885-0200
(615) 885-0267
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 296-9939

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
16992
TN
363LF0000X
Family Nurse Practitioner
16992
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q001814
TN
Enumeration date
09/25/2012
Last updated
10/13/2014
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