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Individual

MR. BENJAMIN WADE HARMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-BC

Contact information

Practice address
127 N OAK AVE # A, COOKEVILLE, TN 38501-2435
(931) 783-2361
(931) 783-5215
Mailing address
140 W 7TH ST, COOKEVILLE, TN 38501-1726
(931) 783-5582
(931) 783-2519

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
16280
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q034187
TN
Enumeration date
12/08/2011
Last updated
06/10/2026
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