Individual
MARSHA DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7600 WOLF RIVER BLVD, SUITE 220, GERMANTOWN, TN 38138-1785
(901) 755-5300
(901) 756-0196
Mailing address
PO BOX 2757, CORDOVA, TN 38088-2757
(901) 755-5300
(901) 753-9659
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN5796
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02084773
—
MS
01
—
4068752
BLUE CROSS
TN
Enumeration date
06/07/2006
Last updated
12/17/2020
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