Individual
DEBORAH ROSE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN CRNP
Contact information
Practice address
1805 N JACKSON ST, BLDG A STE 100, TULLAHOMA, TN 37388
(931) 455-7767
(931) 455-8636
Mailing address
1805 N JACKSON ST, BLDG A STE 100, TULLAHOMA, TN 37388
(931) 455-7767
(931) 455-8636
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
APN0000005708
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3153265
BCBS
TN
05
—
3341058
—
TN
01
—
500013237
RR MCR
TN
Enumeration date
10/04/2006
Last updated
05/07/2008
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