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

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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