Organization
DEFINITE WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE MARIE KINNEY FNP (OWNER)
(931) 434-0439
Entity
Organization
Contact information
Practice address
401 WILSON AVE, TULLAHOMA, TN 37388-3357
(931) 434-2140
Mailing address
401 WILSON AVE, TULLAHOMA, TN 37388-3357
(931) 434-2140
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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