Individual
MS. CRESCENTIA SPARE VINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
556B FIRE STATION RD, CLARKSVILLE, TN 37043-4016
(931) 648-9595
Mailing address
2068 ROXBURY LN, CLARKSVILLE, TN 37043-2112
(931) 647-7537
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
94900
TN
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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