White, Wanda Fay

White, Wanda Fay is an sole proprietor health care provider with primary practice located at 586 Rutledge Pike , Blaine TN 37709-2314. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. White, Wanda Fay can be contacted via phone (865) 705-2624.

Contact Information

Primary practice address
586 Rutledge Pike Blaine TN 37709-2314
Phone: (865) 705-2624
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000024234 Tennessee

Profile Details

NPI number 1295228005
LBN Legal business name White, Wanda Fay
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2018
Last updated Jun 16th, 2018 - about 6 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.

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