Organization · Type 2 NPI
Westside Family Medical
Family Nurse Practitioner · Tullahoma, TN
NPI number
1144742842
Active
Practice location
104 Westside Dr
Tullahoma, TN 37388-3253
Mailing address
160 Crestview Dr
Winchester, TN 37398-2566
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 20413 (TN) |
| Family Nurse Practitioner | 363LF0000X | 19352 (TN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1144742842
Westside Family Medical's National Provider Identifier is 1144742842, issued on Jul 13, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tullahoma, TN. The record was last updated on Jul 13, 2017.