| Mashburn Family Health, Pllc | |
|
1102 E College St Pulaski TN 38478-4519 | |
| (931) 300-0534 | |
| Not Available |
| Full Name | Mashburn Family Health, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1102 E College St, Pulaski, Tennessee |
| Authorized Official Name and Position | Steven N Mashburn (NP/OWNER) |
| Authorized Official Contact | 9313719500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mashburn Family Health, Pllc 1102 E College St Pulaski TN 38478-4519 Ph: (931) 371-9500 | Mashburn Family Health, Pllc 1102 E College St Pulaski TN 38478-4519 Ph: (931) 300-0534 |
| NPI Number | 1861162430 |
|---|---|
| Provider Enumeration Date | 09/15/2021 |
| Last Update Date | 02/21/2024 |
| Medicare PECOS PAC ID | 9638560600 |
|---|---|
| Medicare Enrollment ID | O20211229002489 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861162430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Steven N Mashburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942373717 PECOS PAC ID: 7719945732 Enrollment ID: I20041222000352 |
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