Individual
MS. CARROLL LOGAN VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN ,PMHNP- BC
Contact information
Practice address
1997 HIGHWAY 51 S, PROFESSIONAL CARE SERVICES OF WEST TN, INC., COVINGTON, TN 38019-3630
(901) 476-8967
(901) 313-1125
Mailing address
1997 HIGHWAY 51 S, PROFESSIONAL CARE SERVICES OF WEST TN, INC., COVINGTON, TN 38019-3630
(901) 476-8967
(901) 313-1125
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
111003
NE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN0000007369
TN
Other
Enumeration date
07/17/2006
Last updated
03/07/2023
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