Individual
MRS. B. LENORE WIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
601 HIGHWAY 52 BYP E, LAFAYETTE, TN 37083-1009
(615) 666-2142
(615) 666-6153
Mailing address
1100 ENGLAND DR, COOKEVILLE, TN 38501-0924
(931) 528-7531
(931) 520-0413
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN12218
TN
363LF0000X
Family Nurse Practitioner
APN0000012218
TN
Other
Enumeration date
12/19/2006
Last updated
03/12/2018
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