Organization
PRIMARY CARE PLUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHARINE VACHON N.P. (OWNER)
(931) 802-6058
Entity
Organization
Contact information
Practice address
291 CLEAR SKY CT, B, CLARKSVILLE, TN 37043-5951
(931) 802-6058
(931) 802-6059
Mailing address
291 CLEAR SKY CT, B, CLARKSVILLE, TN 37043-5951
(931) 802-6058
(931) 802-6059
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11796
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1517918
—
TN
Enumeration date
04/27/2016
Last updated
04/27/2016
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