Individual
REBECCA D DERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
980 PROFESSIONAL PARK DR, STE. C, CLARKSVILLE, TN 37040-5251
(931) 647-5747
Mailing address
PO BOX 681789, FRANKLIN, TN 37068-1789
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
20361
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q016334
—
TN
Enumeration date
09/08/2015
Last updated
07/01/2016
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