Individual provider · Type 1 NPI
Michelle Baisden Peck
Pediatric Nurse Practitioner · Powell, TN
NPI number
1053818922
Active
Practice location
7714 Conner Rd Ste 101
Powell, TN 37849-3559
Fax (865) 212-6446
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | APN23943 (TN) |
Pediatric Nurse Practitioner: Definition to come...
Other pediatric nurse practitioner providers in Powell
About NPI 1053818922
Michelle Baisden Peck's National Provider Identifier is 1053818922, issued on Apr 9, 2018. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Powell, TN. The record was last updated on Apr 9, 2018.