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Organization
ROCKVALE FAMILY PRACTICE, LLC
Active
Organization
ROCKVALE FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY MARIE MATTHEWS FNP-C (NURSE PRACTITIONER)
(615) 722-1191
Entity
Organization
Contact information
Practice address
7800 HIGHWAY 99, ROCKVALE, TN 37153-4137
(931) 224-2973
Mailing address
7800 HIGHWAY 99, ROCKVALE, TN 37153-4137
(615) 722-1191
(949) 543-2463
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN18979
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q012937
—
TN
Enumeration date
06/14/2017
Last updated
03/08/2019
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