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Individual

KATHRYN WAYNE O'HERON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
3300 WILLIAMS ENTERPRISE DRIVE, SUITE 1, COOKEVILLE, TN 38506
(931) 528-9222
(931) 854-0907
Mailing address
3300 WILLIAMS ENTERPRISE DR STE 1, COOKEVILLE, TN 38506-4224
(931) 528-9222
(931) 854-0907

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
248372
TN
363LF0000X
Family Nurse Practitioner
Primary
30328
TN

Other

Enumeration date
01/26/2021
Last updated
11/10/2025
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