Individual
MARY MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
350 PAGEANT LN, CLARKSVILLE, TN 37040-8606
(931) 906-2001
Mailing address
2314 DOGWOOD LN, CLARKSVILLE, TN 37043-5230
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
32722
TN
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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