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Organization

UNIVERSITY OF TENNESSEE

Active
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Organization

UNIVERSITY OF TENNESSEE

Active
Other names
Vine School Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
NAN M GAYLORD PH.D, CPNP (DIRECTOR)
(865) 594-5078
Entity
Organization

Contact information

Practice address
220 LANGLAND STREET, KNOXVILLE, TN 37915
(865) 594-5078
(865) 594-3921
Mailing address
220 LANGLAND STREET, KNOXVILLE, TN 37915
(865) 594-5078
(865) 594-3921

Taxonomy

Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
—
NULL
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
—
—

Other

Enumeration date
08/05/2010
Last updated
08/05/2010
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