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Contact Information

TRINITY MEDICAL CLINIC, LLC
832 MULBERRY AVE
SELMER, TN38375-2334
 Phone: 731-434-0200
 Fax: 731-434-0203
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Rural Health

261QR1300X B4[14] Rural Health Clinic
Indicates primary specialty

NPI Profile & details for TRINITY MEDICAL CLINIC LLC · (Female)

NPI Number 1013156629
Status Active
Credentials
Entity Individual
Enumeration date 02/05/2009
Last updated 06/19/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • TN License # APN0000007669
  • TN Other 3341736 MEDICARE PTAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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