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Clinic At Selmer, Pc
Primary Care Nurse Practitioner in Selmer, Tennessee
NPI 1265822027

Clinic At Selmer, Pc is a Primary Care Nurse Practitioner based in Selmer, TN and is specialized in Primary Care. Clinic At Selmer, Pc practices in Selmer, TN. The NPI Number for Clinic At Selmer, Pc is 1265822027 and holds a License No. MD0000015732 (Tennessee).

The current practice location address for Clinic At Selmer, Pc is 714 Federal Dr, Selmer, TN and can be reached out via phone at 731-645-7952 and via fax at 731-645-8898.

Location: 714 Federal Dr, Selmer, TN, 38375-1876
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265822027
Provider Name
Clinic At Selmer, Pc
Credential
Provider Entity Type
Organization
Address
714 Federal Dr, Selmer, TN, 38375-1876
Phone Number
731-645-7952
Fax Number
731-645-8898
Provider Enumeration Date
02/02/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1780671255 01 TN NPI
3010022 05 TN
institution
Provider Business Practice Location Address Details
Address
714 Federal Dr
City
Selmer
State
Tennessee
Zip
38375-1876
Phone Number
731-645-7952
Fax Number
731-645-8898
person
Provider Business Mailing Address Details
Address
714 Federal Dr
City
Selmer
State
Tennessee
Zip
38375-1876
Phone Number
731-645-7952
Fax Number
731-645-8898
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
APN0000019129 (Tennessee)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
APN0000019130 (Tennessee)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
MD0000015732 (Tennessee)
Definition
Definition to come...
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