Individual
MS. AYANNA TYNE CLOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(478) 335-3471
Mailing address
105 BELLEWOOD CT, MACON, GA 31210-7544
(478) 335-3471
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN154974
GA
Other
Enumeration date
02/21/2012
Last updated
09/17/2020
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