Provider Demographics
NPI:1447090410
Name:MERRELL, NARKEETA
Entity type:Individual
Prefix:
First Name:NARKEETA
Middle Name:
Last Name:MERRELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5331 MOUNT VIEW RD # 140
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-2308
Mailing Address - Country:US
Mailing Address - Phone:615-596-9878
Mailing Address - Fax:724-673-8108
Practice Address - Street 1:5331 MOUNT VIEW RD # 140
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-2308
Practice Address - Country:US
Practice Address - Phone:615-596-9878
Practice Address - Fax:724-673-8108
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-28
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN251V00000X, 246RP1900X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy
No251V00000XAgenciesVoluntary or Charitable
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program