Individual
EVAN WITHERINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
511 8TH ST, CLARKSVILLE, TN 37040-3093
(931) 920-7200
Mailing address
600 12TH AVE S APT 607, NASHVILLE, TN 37203-6632
(615) 779-1995
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
15617
TN
Other
Enumeration date
12/14/2009
Last updated
10/10/2011
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