Doctor Name: | MS. CHARLOTTE TUNNELL |
NPI Number: | 1003879891 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN,RN |
License Number: | APN0000005101 |
Business Practice Address: | 319 Devonia St Harriman, TN - 377482008 |
Business Phone Number: | 8658828856 |
Business Fax Number: | |
Mailing Address: | Po Box 1646, HARRIMAN |
State: | TN |
Postal Code: | 377481646 |
Phone Number: | 8656379711 |
Fax Number: | 8656374362 |
NPI Enumeration Date: | 04/11/2006 |
NPI Last Update Date: | 01/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0809X |
License Number: | APN0000005101 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |