person
Mrs. Mary Lou Cameron Fornehed, ACNP,BC
Acute Care Nurse Practitioner in Cookeville, Tennessee
NPI 1083647275

Mary Lou Cameron Fornehed is an Acute Care Nurse Practitioner based in Cookeville, TN and is specialized in Acute Care. Mary Lou Cameron Fornehed practices in Cookeville, TN and has the professional credentials of ACNP,BC. The NPI Number for Mary Lou Cameron Fornehed is 1083647275 and holds a License No. 6081 (Tennessee).

The current practice location address for Mary Lou Cameron Fornehed is 145 W 4Th St Ste 201, Cookeville, TN and can be reached out via phone at 931-783-2143 and via fax at 931-783-2152.

Location: 145 W 4Th St Ste 201, Cookeville, TN, 38501-1726
person
Provider Profile Details
NPI Number
1083647275
Provider Name
Mary Lou Cameron Fornehed
Credential
ACNP,BC
Provider Entity Type
Individual
Gender
Female
Address
145 W 4Th St Ste 201, Cookeville, TN, 38501-1726
Phone Number
931-783-2143
Fax Number
931-783-2152
Provider Enumeration Date
07/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
78013588 05 KY
4026322 01 TN BLUE CROSS PIN
1530878 05 TN
4346448 01 TN BCBS
institution
Provider Business Practice Location Address Details
Address
145 W 4Th St Ste 201
City
State
Zip
38501
Phone Number
931-783-2143
Fax Number
931-783-2152
person
Provider Business Mailing Address Details
Address
145 W 4Th St Ste 201
City
State
Zip
38501
Phone Number
931-783-2143
Fax Number
931-783-2152
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
6081 (Tennessee)
Definition
Definition to come...
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