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Selena Renee Pevahouse
Psychiatric/Mental Health Nurse Practitioner in Clifton, Tennessee
NPI 1063052116

Selena Renee Pevahouse is a Psychiatric/Mental Health Nurse Practitioner based in Clifton, TN and is specialized in Psychiatric/Mental Health. Selena Renee Pevahouse practices in Clifton, TN. The NPI Number for Selena Renee Pevahouse is 1063052116 and holds a License No. 26817 (Tennessee).

The current practice location address for Selena Renee Pevahouse is 110 Miller Drive, Clifton, TN and can be reached out via phone at 731-607-1007.

Location: 110 Miller Drive, Clifton, TN, 38425-0054
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063052116
Provider Name
Selena Renee Pevahouse
Credential
Provider Entity Type
Individual
Gender
Female
Address
110 Miller Drive, Clifton, TN, 38425-0054
Phone Number
731-607-1007
Fax Number
Provider Enumeration Date
01/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
110 Miller Drive
City
Clifton
State
Tennessee
Zip
38425
Phone Number
731-607-1007
Fax Number
person
Provider Business Mailing Address Details
Address
110 Miller Drive
City
Clifton
State
Tennessee
Zip
38425
Phone Number
731-607-1007
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
26817 (Tennessee)
Definition
Definition to come...
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