Individual
MRS. MISTI LANE RISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
543 E MAIN ST, HOHENWALD, TN 38462-2007
(931) 799-6765
Mailing address
2698 WALNUT GROVE RD, WAYNESBORO, TN 38485-5307
(931) 332-0952
(931) 722-2360
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207Q00000X
TN
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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