Organization
CAPE SIERRA CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE A BANGURA DNP (MEMBER)
(615) 396-8997
Entity
Organization
Contact information
Practice address
5630 NOLENSVILLE PIKE, NASHVILLE, TN 37211-6422
(615) 396-8997
(615) 809-2062
Mailing address
6688 NOLENSVILLE RD STE 108-41, BRENTWOOD, TN 37027-8833
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/04/2016
Last updated
02/14/2020
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