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Individual

CARLA JANE WEEMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
4307 HIGHWAY 66 S, ROGERSVILLE, TN 37857-3155
(423) 921-1600
(423) 921-1675
Mailing address
PO BOX 850, ROGERSVILLE, TN 37857-0850
(423) 921-1600
(423) 921-1675

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20476
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
115994
LICENSE NUMBER
TN
01
APN0000020476
ANP
TN
Enumeration date
10/22/2015
Last updated
03/07/2023
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