Individual
RENEE MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
542 UPTOWN SQ, MURFREESBORO, TN 37129-0589
(615) 203-5024
(629) 201-8365
Mailing address
542 UPTOWN SQ, MURFREESBORO, TN 37129-0589
(615) 245-6255
(629) 201-8365
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
27956
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q064096
—
TN
Enumeration date
07/14/2020
Last updated
11/11/2022
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