Individual
HEIDI M MARLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-CB
Contact information
Practice address
2221 JACKSBORO PIKE STE A18, LA FOLLETTE, TN 37766-3035
(865) 333-4770
(865) 332-1923
Mailing address
2221 JACKSBORO PIKE STE A18, LA FOLLETTE, TN 37766-3035
(937) 408-7606
(865) 332-1923
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
36298
TN
363LG0600X
Gerontology Nurse Practitioner
Primary
36298
TN
Other
Enumeration date
05/13/2024
Last updated
02/10/2026
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