Organization
SKIN & AESTHETICS TN
Active
Other names
The Skin and Aesthetics Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKELEE PAIGE SMITH NURSE PRACTITIONER (OWNER)
(931) 260-0327
Entity
Organization
Contact information
Practice address
315 N WASHINGTON AVE STE 265, COOKEVILLE, TN 38501-2697
(931) 260-0327
Mailing address
315 N WASHINGTON AVE STE 265, COOKEVILLE, TN 38501-2697
(931) 260-0327
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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