Individual
MRS. HOLLY CLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
215 S CEDAR LN, PULASKI, TN 38478-3502
(931) 363-2511
(931) 424-6109
Mailing address
215 S CEDAR LN, PO BOX 577, PULASKI, TN 38478-3502
(931) 363-2511
(931) 424-6109
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
18358
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18358
TN BOARD OF NURSING
TN
Enumeration date
02/18/2014
Last updated
02/18/2014
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