Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marissa Lyn Withrow

Individual provider Family Nurse Practitioner · NPI 1023505245

Marissa Lyn Withrow is a Nurse Practitioner in Cleveland, Tennessee. Qualified in 2017, 9 years ago. Practices with Minuteclinic Diagnostic of Tennessee PC, a 81-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
9
Licensed in
TN
In the registry since
2018
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Practice location Address checks out

2424 N Ocoee St
Cleveland, TN 37311
Phone: (866) 389-2727
Fax: (401) 216-3854
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2424 N Ocoee St, Cleveland, TN 37311 — (866) 389-2727
  • 449 Urbane Rd Ne, Cleveland, TN 37312-4759 — (423) 716-2477

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 23903 (TN)

Record details

NPI number1023505245
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 13, 2018
Last updated in NPPESDecember 10, 2018
Mailing address183 Jenkins Rd Ne, Cleveland, TN 37312-6623

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Minuteclinic Diagnostic Of Tennessee Pc — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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