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Individual

MRS. REBECCA DAVIS VALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
7557B DANNAHER DR STE 225, POWELL, TN 37849-3568
(865) 647-5800
(865) 647-5979
Mailing address
7557B DANNAHER DR STE 225, POWELL, TN 37849-3568
(865) 647-5800
(865) 647-5979

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
24572
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q044141
TN
Enumeration date
08/13/2018
Last updated
01/22/2019
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