Individual
KALIETTA WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
100 SPRINGHOUSE CT STE 200, HENDERSONVILLE, TN 37075-1610
(865) 588-3173
Mailing address
209 DEREK CT, PORTLAND, TN 37148-2147
(615) 362-1295
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
35061
TN
Other
Enumeration date
11/01/2023
Last updated
11/06/2023
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