Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MADISON D PETTIGREW, MSN, APN, PMHNP-BC
Active Sole ProprietorMR. MADISON D PETTIGREW, MSN, APN, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in CORDOVA, Tennessee. NPI 1912211764 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · CORDOVA, TN
Registration Details
- NPI Number
- 1912211764
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 4, 2010 (15.993437837062 yrs)
- Last Updated
- Aug 1, 2023
- Licenses
-
171949 (TN)904213 (MS)28484 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8130 COUNTRY VILLAGE DR STE 103CORDOVA, TN, 380162087Browse TN providers · Browse ZIP 38016
- Phone
- 9013082915
- Fax
- 9013082924
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in CORDOVA, TN
| Name | Credential | NPI |
|---|---|---|
| MR. MARK ALLEN HESSELRODE | APN | 1164417127 |
| KIMBERLY HATLER | — | 1558394395 |
| MR. STEVEN JOSEPH GEMMILL | APRN, BC,CS,NP,LADAC | 1548275274 |
| RICHARD DEAN SYKES | APRN, BC | 1942315627 |
| HEATHER VALENTINE MITTEN | MSN, APRN | 1891131348 |
| CRYSTAL LYNNA HARRIS | MSN, PMHNP-BC | 1144634486 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.