Individual
MS. MELINDA SUE KAISER-MCGOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
3400 LEBANON RD, MURFREESBORO, TN 37129-1392
(615) 225-6000
Mailing address
3400 LEBANON RD, MURFREESBORO, TN 37129-1236
(615) 225-6000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
591819
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP110248
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03535
PRESCRIPTIVE AUTHORITY
TX
05
—
141158901
—
TX
01
—
591819
TX RN NURSE PRACTIONER
TX
Enumeration date
10/04/2006
Last updated
09/21/2023
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