Vickie D Long DNP,APN,FNP-BC,PMHNP

NPI 1063649200 - Nurse Practitioner - 363LP0808X

NPI Details
NPI 1063649200
Gender Female
Enumeration Date 06/15/2009
Last Updated 09/18/2014
Entity Type Individual
Active Over 7 years ago
Practice Location
1669 STABLE RUN DR
CORDOVA TN, 38016-7624, US
Phone (901) 753-0494
Fax
Business Location
PO BOX 4355
CORDOVA TN, 38088-4355, US
Phone (901) 753-0494
Fax
Toxanomy
Taxonomy Code 363LP0808X
License State Tennessee
License Number 14184
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According to our database, Dr. Vickie D Long DNP,APN,FNP-BC,PMHNP NPI is 1063649200, taxonomy code is 363LP0808X and license number is 14184, license state is located at Tennessee. Vickie D Long DNP,APN,FNP-BC,PMHNP physically located at 1669 Stable Run Dr, Cordova TN, 38016-7624. NPI Number Vickie D Long DNP,APN,FNP-BC,PMHNP has the Individual type.

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1063649200 NPI number is provided on an as is basis without warranty of any kind. 1063649200 is maintained by the National Plan & Provider Enumeration System. The contents of Vickie D Long DNP,APN,FNP-BC,PMHNP are for informational purposes only.