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Raven Dedrick Wentworth, APRN
Family Nurse Practitioner in Linden, Tennessee
NPI 1952352098

Raven Dedrick Wentworth is a Family Nurse Practitioner based in Linden, TN and is specialized in Family. Raven Dedrick Wentworth practices in Linden, TN and has the professional credentials of APRN. The NPI Number for Raven Dedrick Wentworth is 1952352098 and holds a License No. APN11711 (Tennessee).

The current practice location address for Raven Dedrick Wentworth is 847 Squirrel Hollow Dr, Linden, TN and can be reached out via phone at 931-589-2600.

Location: 847 Squirrel Hollow Dr, Linden, TN, 37096-6479
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952352098
Provider Name
Raven Dedrick Wentworth
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
847 Squirrel Hollow Dr, Linden, TN, 37096-6479
Phone Number
931-589-2600
Fax Number
Provider Enumeration Date
05/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3642779 05 TN
institution
Provider Business Practice Location Address Details
Address
847 Squirrel Hollow Dr
City
Linden
State
Tennessee
Zip
37096-6479
Phone Number
931-589-2600
Fax Number
person
Provider Business Mailing Address Details
Address
847 Squirrel Hollow Dr
City
Linden
State
Tennessee
Zip
37096-6479
Phone Number
931-589-2600
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
11711 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
APN11711 (Tennessee)
Definition
Definition to come...
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