Individual
MARISSA LYNN WEINY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
620 GALLATIN PIKE S, MADISON, TN 37115-4013
(888) 291-4357
Mailing address
PO BOX 987, MOUNT JULIET, TN 37121-0987
(615) 856-0561
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
98627
TN
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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