Male or Other

Micah Sellew

Family Nurse Practitioner in Jamestown, TN(View on Map)

Full Name

Micah Sellew

NPI Number

1265997175

NPI Type

Individual Provider

Gender

Male

Enumeration Date

02/05/2019

Specialties

(Taxonomies)

Code

363LF0000X

Primary Taxonomy

Yes

Licenses

State

Tennessee

License Number

24783

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 1258
321 E CENTRAL AVE

City

Waynesboro
Jamestown

State

TN
TN

Postal Code

38485-1258
38556-4103

Country

US
US

Telephone Number

(931) 253-1110
(931) 879-0206

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/05/2019

Provider Address

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