Individual
BETHANY WHITE III
Active
Individual
BETHANY WHITE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
21750
TN
363LG0600X
Gerontology Nurse Practitioner
21750
TN
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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