SELENA RENEE PEVAHOUSE


Address: 110 Miller Drive, Clifton, TN 38425
Phone: 7316071007

SELENA RENEE PEVAHOUSE (NPI# 1063052116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063052116
Entity Type Individual
Full Name SELENA RENEE PEVAHOUSE
Practice Address 110 Miller Drive
Clifton
TN 38425
Mailing Address Po Box 54
Clifton
TN 38425-0054
Practice Telephone 7316071007
Mailing Telephone 7316071007
Enumeration Date 2020-01-07
Last Update Date 2020-01-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
26817 TN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 110 MILLER DRIVE
City CLIFTON
State TN
Zip Code 38425

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NPI Name Taxonomy Address Enumeration
1447266614 Charles Trevor Brashier Nurse Practitioner 133 Main Street, Clifton, TN 38425 2006-07-31
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1952625071 Brashier Family Medical Nurse Practitioner 133 Main St, Clifton, TN 38425 2010-03-18
1558372375 Advanced Respiratory Solutions, Inc Durable Medical Equipment & Medical Supplies 102 Main Street, Clifton, TN 38425 2006-08-10
1124034574 Health Care Development Partners, Inc. Nurse Practitioner 133 Main Street, Clifton, TN 38425 2006-07-31
1851354146 Christopher John Mayott Physical Therapist 1081 Chapel Farm Rd, Clifton, TN 38425-4238 2006-04-09
1154572857 Mary Sharee Dean Nurse Practitioner 555 Forrest Ave, Clifton, TN 38425-5412 2008-10-01
1669792172 Allison Jessica Sems Physician Assistant 124 Main St, Clifton, TN 38425-5544 2010-06-07
1124187802 Willoughby Drugs Pharmacy 104 Main St, Clifton, TN 38425-5544 2006-12-08
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1487728622 Kathleen A Oldfather Nurse Practitioner 430 N Coronado Blvd, Clifton, AZ 85533-8086 2006-11-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659972966 Rebecca Singleton Nurse Practitioner 2601 N John B Dennis Hwy Apt 2318, Kingsport, TN 37660-0835 2020-11-03
1205434503 Sonya Lavet Butler Nurse Practitioner 3413 Axelwood Dr, Murfreesboro, TN 37128-3984 2020-10-09
1417554361 John Pearson Redmond Nurse Practitioner 1710 Ghost Creek Dr, Collierville, TN 38017-3425 2020-10-05
1861099061 Justin Mccord Nurse Practitioner 454 Red Hill Center Rd, Lawrenceburg, TN 38464-6842 2020-10-01
1265049977 Toya Owens Nurse Practitioner 2565 Mackinnon Dr, Memphis, TN 38119-7903 2020-09-26
1043827041 Zamaria Davion Louise Gains Nurse Practitioner 7405 Shallowford Rd Ste 230, Chattanooga, TN 37421-7632 2020-09-24
1376158998 Mary L Dean Turner Nurse Practitioner 6727 Stonetrace Dr, Bartlett, TN 38135-3054 2020-09-10
1205447794 Sana Pathan Nurse Practitioner 829 S Sherbrooke Cir, Mount Carmel, TN 37645-4019 2020-08-10
1093325557 Highland Behavioral Healthcare Nurse Practitioner 29 Taylor Ave Ste 204, Crossville, TN 38555-4537 2020-08-08
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Competitor

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City CLIFTON
Zip Code 38425

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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