Individual provider · Type 1 NPI
Michael Chance Tedder, FNP-C
Family Nurse Practitioner · Harriman, TN
NPI number
1629403738
Active
Practice location
525 Devonia St
Harriman, TN 37748-2163
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 17903 (TN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1629403738
Michael Chance Tedder, FNP-C's National Provider Identifier is 1629403738, issued on Sep 9, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Harriman, TN. The record was last updated on Jun 23, 2020.