Provider Demographics
NPI:1972110831
Name:YOSEF, MARLEEN
Entity type:Individual
Prefix:
First Name:MARLEEN
Middle Name:
Last Name:YOSEF
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 1:6 WHITSETT RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37210-5345
Mailing Address - Country:US
Mailing Address - Phone:615-609-3417
Mailing Address - Fax:
Practice Address - Street 1:4071 CANE RIDGE PKWY STE 208
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-6042
Practice Address - Country:US
Practice Address - Phone:615-669-2393
Practice Address - Fax:866-611-2777
Is Sole Proprietor?:No
Enumeration Date:2020-09-24
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical