Individual
GINA VANDERVELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
651 DUNLOP LN, CLARKSVILLE, TN 37040-5015
(931) 502-1300
Mailing address
651 DUNLOP LN, CLARKSVILLE, TN 37040-5015
(931) 502-1300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
18040
TN
Other
Enumeration date
10/14/2013
Last updated
01/06/2016
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