Individual
MR. WAYNE RUSSELL BABCOCK II
Active
Individual
MR. WAYNE RUSSELL BABCOCK II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APN17208
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6053298
BCBS
TN
05
—
7100260170
—
KY
05
—
Q000589
—
TN
Enumeration date
12/14/2012
Last updated
05/15/2017
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