Individual
RAJPATI BODH-CERES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
209 S HIGH ST, WAYNESBORO, TN 38485-2605
(228) 865-1330
Mailing address
418 MAIN STREET, WAYNESBORO, TN 38384-6003
(731) 727-8012
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
21248
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
461899
RN LICENSE
NY
Enumeration date
12/15/2014
Last updated
01/31/2023
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