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Wanda Fay White, FNP-BC
Family Nurse Practitioner in Blaine, Tennessee
NPI 1295228005

Wanda Fay White is a Family Nurse Practitioner based in Blaine, TN and is specialized in Family. Wanda Fay White practices in Blaine, TN and has the professional credentials of FNP-BC. The NPI Number for Wanda Fay White is 1295228005 and holds a License No. APN0000024234 (Tennessee).

The current practice location address for Wanda Fay White is 586 Rutledge Pike, Blaine, TN and can be reached out via phone at 865-705-2624.

Location: 586 Rutledge Pike, Blaine, TN, 37709-2314
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295228005
Provider Name
Wanda Fay White
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
586 Rutledge Pike, Blaine, TN, 37709-2314
Phone Number
865-705-2624
Fax Number
Provider Enumeration Date
06/07/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
586 Rutledge Pike
City
Blaine
State
Tennessee
Zip
37709-2314
Phone Number
865-705-2624
Fax Number
person
Provider Business Mailing Address Details
Address
586 Rutledge Pike
City
Blaine
State
Tennessee
Zip
37709-2314
Phone Number
865-705-2624
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
APN0000024234 (Tennessee)
Definition
Definition to come...
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