Fornehed, Mary Lou Cameron
Fornehed, Mary Lou Cameron is an individual health care provider with primary practice located at 145 W 4Th St Ste 201 , Cookeville TN 38501. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Fornehed, Mary Lou Cameron can be contacted via phone (931) 783-2143.Contact Information
Primary practice address
145 W 4Th St Ste 201
Cookeville TN 38501
Phone: (931) 783-2143
Fax: (931) 783-2152
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 6081 | Tennessee |
Profile Details
NPI number | 1083647275 |
---|---|
LBN Legal business name | Fornehed, Mary Lou Cameron |
Credentials | ACNP, BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 9th, 2006 |
Last updated | Jul 13th, 2022 - about 3 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1083647275 | NPPES |
Kentucky | MEDICAID | 78013588 | |
Kentucky | Other | 4026322 | |
Kentucky | MEDICAID | 1530878 | |
Kentucky | Other | 4346448 |
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