Provider Demographics
NPI:1083117329
Name:SLOAN, MICHELLE LEE (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:LEE
Last Name:SLOAN
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:LEE
Other - Last Name:FONSECA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3726 MANSON PIKE APT 1112
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-3144
Mailing Address - Country:US
Mailing Address - Phone:615-557-2549
Mailing Address - Fax:
Practice Address - Street 1:588 FORTRESS BLVD
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-4128
Practice Address - Country:US
Practice Address - Phone:615-410-9360
Practice Address - Fax:615-893-4021
Is Sole Proprietor?:No
Enumeration Date:2018-03-13
Last Update Date:2020-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN23851363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily