Individual
MRS. SUZANNE ANDREA DUBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
111 OTIS SMITH DR, CLARKSVILLE, TN 37043-8940
(931) 553-6666
Mailing address
111 OTIS SMITH DR, CLARKSVILLE, TN 37043-8940
(931) 553-6666
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APN0000007482
TN
363LP0200X
Pediatric Nurse Practitioner
RN0000112635
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q022026
—
TN
Enumeration date
02/27/2006
Last updated
04/11/2018
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