Peck, Michelle Baisden

Peck, Michelle Baisden is an individual health care provider with primary practice located at 7714 Conner Rd Ste 101 , Powell TN 37849-3559. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Peck, Michelle Baisden can be contacted via phone (865) 212-6441.

Contact Information

Primary practice address
7714 Conner Rd Ste 101 Powell TN 37849-3559
Phone: (865) 212-6441
Fax: (865) 212-6446
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APN23943 Tennessee

Profile Details

NPI number 1053818922
LBN Legal business name Peck, Michelle Baisden
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2018
Last updated Apr 9th, 2018 - about 6 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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