Individual
OUMY KALSOUM NIANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 APPLE ST, LA VERGNE, TN 37086-3003
(615) 918-8111
Mailing address
112 APPLE ST, LA VERGNE, TN 37086-3003
(615) 918-8111
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
31248
TN
363LW0102X
Women's Health Nurse Practitioner
31248
TN
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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