Individual
HALEIGH SOUTHERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
132 MAPLE ROW BLVD STE 540, HENDERSONVILLE, TN 37075-4786
(615) 447-3251
Mailing address
108 FRESHRUN DR, HENDERSONVILLE, TN 37075-4822
(615) 482-3391
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
37278
TN
Other
Enumeration date
04/04/2023
Last updated
10/02/2024
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