Individual
GINA LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN FNP
Contact information
Practice address
111 CENTER POINTE DR, SUITE 1, CLARKSVILLE, TN 37040-8424
(931) 648-7615
(931) 648-7616
Mailing address
111 CENTER POINTE DR, SUITE 1, CLARKSVILLE, TN 37040-8424
(931) 648-7615
(931) 648-7616
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0709120
TN
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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