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Individual

KEIKO BOVEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1646 RUSSELL AVE, JEFFERSON CITY, TN 37760-2204
(865) 471-2000
Mailing address
5075 FOREST OASIS LN, BARTLETT, TN 38135-6245
(951) 775-8851

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
32651
TN
363LF0000X
Family Nurse Practitioner
Primary
32651
TN

Other

Enumeration date
10/07/2022
Last updated
10/07/2022
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