Organization · Type 2 NPI
Professional Pain Management, LLC
Family Nurse Practitioner · Cleveland, TN
NPI number
1003109646
Active
Practice location
301 Keith St SW, Suite 204
Cleveland, TN 37311-5808
Fax (423) 790-5299
Mailing address
PO Box 4350
Cleveland, TN 37320-4350
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 13528 (TN) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Cleveland
About NPI 1003109646
Professional Pain Management, LLC's National Provider Identifier is 1003109646, issued on May 16, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Cleveland, TN. The record was last updated on May 16, 2011.