Preston, Mickie D

Preston, Mickie D is an individual health care provider with primary practice located at 5115 Maryland Way , Brentwood TN 37027-1200. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Preston, Mickie D can be contacted via phone (615) 346-8468.

Contact Information

Primary practice address
5115 Maryland Way Brentwood TN 37027-1200
Phone: (615) 346-8468
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 11828 Tennessee

Profile Details

NPI number 1699719765
LBN Legal business name Preston, Mickie D
Credentials RN, APN
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Nov 6th, 2013 - about 13 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 1699719765 NPPES
Tennessee Other 4125091 BCBST
Tennessee MEDICAID 36434112 BCBST

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