Organization
TN PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDIE HOOVER (OFFICE MANAGER)
(931) 526-6100
Entity
Organization
Contact information
Practice address
435 N CEDAR AVE, COOKEVILLE, TN 38501-2422
(931) 526-6100
(931) 526-6002
Mailing address
435 N CEDAR AVE, COOKEVILLE, TN 38501-2422
(931) 526-6100
(931) 526-6002
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APN0000020015
TN
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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