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Organization

PRIMARY CARE PLUS

Active
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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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