Individual
VALERIE O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1670 W MAIN ST STE 140, LEBANON, TN 37087-1345
(615) 994-8201
Mailing address
3810 CENTRAL PIKE, HERMITAGE, TN 37076-3494
(931) 967-9393
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001006604
NC
363A00000X
Physician Assistant
Primary
4564
TN
363A00000X
Physician Assistant
MA054971
PA
Other
Enumeration date
08/15/2011
Last updated
04/03/2023
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