Individual
TIARA WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8400
Mailing address
1287 BLUFFTON CIRCLE, CLARKSVILLE, TN 37043
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20015
TN
Other
Enumeration date
02/15/2016
Last updated
10/01/2024
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