Individual
BOBBIE SUE WAYNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
511 8TH ST, CLARKSVILLE, TN 37040-3093
(931) 920-7268
(931) 920-7206
Mailing address
451 SALEM RD, CLARKSVILLE, TN 37040-7819
(931) 648-2651
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
3093983
TN
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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