Marelle Mitchell, FNP
Individual provider Active NPI General Practice Registered Nurse · Lobelville, TN
NPI 1962480665 · NPPES record last updated Mar 11, 2011
Key facts
- NPI
- 1962480665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Registered Nurse 163WG0000X
- License
- APN0000005050 (TN)
- Practice address
- 236 N Main St
Lobelville, TN 37097-3235 - Phone
- (931) 593-2277
- Fax
- (931) 593-2517
- NPI assigned
- Jan 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000005050 | TN | MD | General Practice Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lobelville Clinic | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | APN0000005050 | TN | Yes |
Addresses
Primary practice location
236 N Main St
Lobelville, TN 37097-3235
Mailing address
236 N Main St
Lobelville, TN 37097-3235
Phone (931) 593-2277
Other providers in Lobelville, TN
All providers in Lobelville, TN · General Practice Registered Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.