Individual
MR. EDWIN SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2004 HWY 47 N, WHITE BLUFF, TN 37187-4100
(615) 797-3646
(615) 797-4055
Mailing address
2004 HWY 47 N, WHITE BLUFF, TN 37187-4100
(615) 797-3646
(615) 797-4055
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN6734
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3908147
—
TN
Enumeration date
07/03/2006
Last updated
01/21/2011
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