Individual
DR. CHARLOTTE ISABEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2512 EAGLERIDGE LN, CORDOVA, TN 38016-4642
(901) 857-0240
Mailing address
2512 EAGLERIDGE LN, CORDOVA, TN 38016-4642
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
34722
TN
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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