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Individual

HEATHER MARIE WINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, FNP-C

Contact information

Practice address
136 WINE RD, GRAY, TN 37615-2485
(423) 213-2198
Mailing address
136 WINE RD, GRAY, TN 37615-2485

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
42485
TN

Other

Enumeration date
07/16/2026
Last updated
07/16/2026
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