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Contact Information

ADVANCED FAMILY AND URGENT CARE
18 ELDAD RD
FAYETTEVILLE, TN37334-7005
 Phone: 931-438-8260
 Fax: 931-438-8257
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ADVANCED FAMILY AND URGENT CARE · (Female)

NPI Number 1942375571
Status Active
Credentials
Entity Individual
Enumeration date 11/21/2006
Last updated 11/05/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • TN License # 5968
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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