Individual
MRS. CONNIE DENISE SMITH PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8600 HIXSON PIKE, HIXSON, TN 37343-1515
(866) 389-2727
Mailing address
8600 HIXSON PIKE, HIXSON, TN 37343-1515
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000026622
TN
Other
Enumeration date
01/04/2020
Last updated
09/19/2023
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