Individual
MEGAN TENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1859 SW NEWLAND WAY, LAKE CITY, FL 32025-6966
(386) 758-0003
(386) 628-5035
Mailing address
1859 SW NEWLAND WAY, LAKE CITY, FL 32025-6966
(386) 758-0003
(386) 755-7940
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9308188
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015221600
—
FL
Enumeration date
07/06/2015
Last updated
07/19/2016
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