Individual
MS. HYON SUKI QUATTLEBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(240) 543-3000
Mailing address
1366 BRUCETON DR, CLARKSVILLE, TN 37042-4668
(301) 395-1940
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
666188
TX
363LF0000X
Family Nurse Practitioner
Primary
F0613248
TX
Other
Enumeration date
03/17/2009
Last updated
07/24/2013
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