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Marisa Ebersole
Family Nurse Practitioner in Clarksville, Tennessee
NPI 1144908260

Marisa Ebersole is a Family Nurse Practitioner based in Clarksville, TN and is specialized in Family. Marisa Ebersole practices in Clarksville, TN. The NPI Number for Marisa Ebersole is 1144908260 and holds a License No. 34201 (Tennessee).

The current practice location address for Marisa Ebersole is 1193 Fort Campbell Blvd, Clarksville, TN and can be reached out via phone at 931-648-4838.

Location: 1193 Fort Campbell Blvd, Clarksville, TN, 37042-8880
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144908260
Provider Name
Marisa Ebersole
Credential
Provider Entity Type
Individual
Gender
Female
Address
1193 Fort Campbell Blvd, Clarksville, TN, 37042-8880
Phone Number
931-648-4838
Fax Number
Provider Enumeration Date
07/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1193 Fort Campbell Blvd
City
Clarksville
State
Tennessee
Zip
37042-8880
Phone Number
931-648-4838
Fax Number
person
Provider Business Mailing Address Details
Address
1193 Fort Campbell Blvd
City
Clarksville
State
Tennessee
Zip
37042-8880
Phone Number
931-648-4838
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
34201 (Tennessee)
Definition
Definition to come...
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