Organization
THERAPEUTIC MEDICAL WEIGHT LOSS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOHNNI JO CANSLER DNP, APRN, PMHNP-BC (OWNER)
(931) 494-0456
Entity
Organization
Contact information
Practice address
308 W 15TH ST, HOPKINSVILLE, KY 42240-2038
(931) 494-0456
(270) 770-2221
Mailing address
352 WINTER TERRACE LN, CLARKSVILLE, TN 37040-1510
(931) 494-0456
(270) 770-2221
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/22/2022
Last updated
01/22/2022
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