Organization
MARK VANN FNP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK VANN FNP (OWNER)
(931) 723-7909
Entity
Organization
Contact information
Practice address
115 N WOODLAND ST, MANCHESTER, TN 37355-1573
(931) 723-7909
Mailing address
115 N WOODLAND ST, MANCHESTER, TN 37355-1573
(931) 723-7909
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
APN0000015060
TN
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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