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Individual

MS. AMMIE DIANE HUMPHREY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
1005 DR. D. B. TODD BLVD, NASHVILLE, TN 37208
(615) 327-5524
(615) 327-5547
Mailing address
1005 DR. D. B. TODD BLVD, NASHVILLE, TN 37208
(615) 327-5524
(615) 327-5547

Taxonomy

Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
RN34817
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3347382
TN
Enumeration date
01/10/2006
Last updated
07/08/2007
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