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Organization
PRIORITY BEHAVIORAL HEALTH
Active
Organization
PRIORITY BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDDIE MANLEY DNP.APRN,FNP-BC (NURSE PRACTITIONER)
(931) 302-9564
Entity
Organization
Contact information
Practice address
1910 S VIRGINIA ST STE 200C, HOPKINSVILLE, KY 42240-6009
(270) 632-1250
(844) 750-0655
Mailing address
1912 OLD RUSSELLVILLE PIKE, CLARKSVILLE, TN 37043-5817
(931) 302-9564
(844) 750-0655
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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