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Individual

DERESSA LEE MARSHALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, FNP-C

Contact information

Practice address
2710 TROTWOOD AVE, COLUMBIA, TN 38401-4903
(615) 503-8809
Mailing address
2710 TROTWOOD AVE, COLUMBIA, TN 38401-4903
(931) 797-3040
(615) 503-8809

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18269
TN
363LF0000X
Family Nurse Practitioner
APN0000018269
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0898
TN
05
Q041062
TN
Enumeration date
05/05/2014
Last updated
05/16/2024
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