Individual
LEVEN WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
250 HARTFIELD DR, MEDINA, TN 38355-8941
(731) 695-3175
Mailing address
250 HARTFIELD DR, MEDINA, TN 38355-8941
(731) 695-3175
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APN000026424
TN
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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