Individual
CHRISTEN WIEDOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7945 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1762
(901) 683-0055
Mailing address
7945 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1762
(901) 683-0055
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
904140
MS
363LP2300X
Primary Care Nurse Practitioner
Primary
28212
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
09/16/2020
Last updated
07/15/2022
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