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Individual

CARLY PRENTICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1802 SWEETBRIAR AVE, NASHVILLE, TN 37212-5408
(931) 905-7053
Mailing address
1802 SWEETBRIAR AVE, NASHVILLE, TN 37212-5408

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000019634
TN

Other

Enumeration date
03/25/2015
Last updated
03/25/2015
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