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Individual
ROXANNE F UNDERWOOD
Active
Individual
ROXANNE F UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17617
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
148328
ST LIC
TN
05
—
1533575
—
TN
01
—
17617
ST LIC
TN
Enumeration date
11/07/2013
Last updated
01/29/2024
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