Individual
KARA VINYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1705 W REELFOOT AVE, UNION CITY, TN 38261-5569
(731) 599-1102
Mailing address
PO BOX 1258, WAYNESBORO, TN 38485-1258
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
PENDING
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041409892
RN LICENSE
IL
01
—
2011028601
RN LICENSE
MO
Enumeration date
12/07/2017
Last updated
12/07/2017
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