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MELISSA D PREVATTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
741 PRESIDENT PL, SUITE 200, SMYRNA, TN 37167-6807
(615) 459-7104
(615) 459-7822
Mailing address
741 PRESIDENT PL, SUITE 200, SMYRNA, TN 37167-6807
(615) 459-7104
(615) 459-7822

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN0000087576
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3902276
TN
01
4108341
BCBS
Enumeration date
08/04/2006
Last updated
07/08/2007
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