Organization
CLARKSVILLE MIDWIFERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE LOUISE PETERSON CNM (OWNER)
(210) 896-2241
Entity
Organization
Contact information
Practice address
1477 TINY TOWN RD STE 252, CLARKSVILLE, TN 37042-7202
(931) 820-2646
(931) 241-5431
Mailing address
1477 TINY TOWN RD STE 252, CLARKSVILLE, TN 37042-7202
(931) 820-2646
(931) 241-5431
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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