Individual
MICKIE D PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APN
Contact information
Practice address
5115 MARYLAND WAY, BRENTWOOD, TN 37027-1200
(615) 346-8468
Mailing address
5115 MARYLAND WAY, BRENTWOOD, TN 37027-1200
(615) 346-8468
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
11828
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36434112
—
TN
01
—
4125091
BCBST
TN
Enumeration date
06/16/2006
Last updated
11/06/2013
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