Individual
CHARLSIE DELOACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-CB
Contact information
Practice address
776 WEATHERLY DR STE A, CLARKSVILLE, TN 37043-8921
(931) 906-2004
(931) 906-2009
Mailing address
2004 HAYES ST STE 800, NASHVILLE, TN 37203-2659
(931) 906-2004
(931) 906-2009
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
27927
TN
363LF0000X
Family Nurse Practitioner
3014867
KY
Other
Enumeration date
08/03/2020
Last updated
01/04/2022
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