Individual
MRS. CONNIE LOU BRISTOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2204 COWAN HWY, WINCHESTER, TN 37398
(931) 967-1514
(931) 962-4081
Mailing address
2204 COWAN HWY, WINCHESTER, TN 37398
(931) 967-1514
(931) 962-4081
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN0000013680
TN
363LF0000X
Family Nurse Practitioner
APN0000013680
TN
Other
Enumeration date
10/21/2008
Last updated
06/07/2012
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