Individual
MR. BENJAMIN WADE HARMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
142 W 5TH ST, COOKEVILLE, TN 38501-1760
(931) 783-2450
Mailing address
228 W 4TH ST STE 200, COOKEVILLE, TN 38501-2489
(931) 372-0405
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
16280
TN
Other
Enumeration date
12/08/2011
Last updated
06/17/2022
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