Individual
AMY BENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1808 HAYNES ST, CLARKSVILLE, TN 37043-4547
(615) 743-1501
Mailing address
1808 HAYNES ST, CLARKSVILLE, TN 37043-4547
(615) 743-1501
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
173724
TN
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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