Individual
KAMMIE LYNN THROCKMORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
101 WHITE OAK CT, HENDERSONVILLE, TN 37075-3081
(629) 200-9258
Mailing address
101 WHITE OAK CT, HENDERSONVILLE, TN 37075-3081
(629) 200-9258
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN0000019337
TN
Other
Enumeration date
12/26/2019
Last updated
10/14/2024
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