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Contact Information

SUZANNE A DUBECK, PNP
111 OTIS SMITH DR
CLARKSVILLE, TN37043-8940
 Phone: 931-553-6666
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SUZANNE A DUBECK · (Female)

NPI # 1891761144
Status Active
Credentials PNP
Entity Individual
Enumeration date 02/27/2006
Last updated 04/11/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • TN License # APN0000007482
  • TN License # RN0000112635
  • TN Medicaid Q022026
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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