Individual
IRENE KANAABI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
280 COBBLESTONE LNDG, MOUNT JULIET, TN 37122-7470
(615) 423-0896
Mailing address
280 COBBLESTONE LNDG, MOUNT JULIET, TN 37122-7470
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
0000031472
TN
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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