Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 12565 | TN |
NPI | 1023116035 |
---|---|
Provider Name | Mrs. Melissa Moon Kent |
First Address | Nashville, TN 37203-1562 |
Second Address | Nashville, TN 37203-1562 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 12/11/2014 |