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Individual

MRS. KELLY ALEXANDRIA HARDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNSC, FNP-BC

Contact information

Practice address
105 N MONROE ST, NEWBERN, TN 38059-1214
(731) 627-0734
(731) 627-0736
Mailing address
105 N MONROE ST, NEWBERN, TN 38059-1214
(731) 627-0734
(731) 627-0736

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3902763
TN
Enumeration date
07/13/2005
Last updated
01/21/2008
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