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Individual

MARY EVE RICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
490 DUNLOP LN, CLARKSVILLE, TN 37040-5007
(931) 245-7000
Mailing address
812 BROOKE VALLEY TRCE, CLARKSVILLE, TN 37043-5933
(931) 552-6535

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
12411
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q026412
TN
Enumeration date
05/22/2007
Last updated
08/29/2022
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