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Individual

HEATHER VASCASSENNO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
415 S LINDELL ST, MARTIN, TN 38237-2442
(731) 281-4292
Mailing address
2002 RUGBY DR, MURRAY, KY 42071-9470
(901) 871-4286

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1160992
KY
363LF0000X
Family Nurse Practitioner
Primary
39903
TN

Other

Enumeration date
01/18/2024
Last updated
10/28/2025
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