Bohannon-Iyama, Heather

Bohannon-Iyama, Heather is an sole proprietor health care provider with primary practice located at 603B Lake Way Pl , Tullahoma TN 37388-4740. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bohannon-Iyama, Heather can be contacted via phone (931) 393-2632.

Contact Information

Primary practice address
603B Lake Way Pl Tullahoma TN 37388-4740
Phone: (931) 393-2632
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 19097 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19097 Tennessee

Profile Details

NPI number 1447654132
LBN Legal business name Bohannon-Iyama, Heather
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2014
Last updated Feb 14th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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