Manuel, Michelle Lee

Manuel, Michelle Lee is an sole proprietor health care provider with primary practice located at 1901 S Shady St , Mountain City TN 37683-2021. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Manuel, Michelle Lee can be contacted via phone (237) 271-1504.

Contact Information

Primary practice address
1901 S Shady St Mountain City TN 37683-2021
Phone: (237) 271-1504
Fax: (423) 727-1152
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 23849 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 23849 Tennessee

Profile Details

NPI number 1215431861
LBN Legal business name Manuel, Michelle Lee
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2018
Last updated Aug 31st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215431861 NPPES
Tennessee MEDICAID Q035347

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