DERESSA LEE MARSHALL APRN FNP-C NPI 1821408303

NPI Information

NPI: 1821408303
Provider Name: DERESSA LEE MARSHALL, APRN, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1106 ED TEMPLE BLVD
NASHVILLE, TN
ZIP 37208
Phone: (615) 357-0139
Get Directions

Deressa Lee Marshall, APRN, FNP-C is a family nurse practitioner in Nashville, TN. Deressa Lee Marshall, APRN, FNP-C NPI is 1821408303. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1106 ED TEMPLE BLVD
NASHVILLE, TN
ZIP 37208-835
Phone: (615) 357-0139
Fax: (615) 357-0257

The NPI 1821408303 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 5/5/2014 and was last updated on 5/5/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	18269	TENNESSEE	Yes
2	363LF0000X	Nurse Practitioner	Family	APN0000018269	TENNESSEE	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0898	MEDICAID	TENNESSEE
2	Q041062	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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