Destinee Briana Fowler, PA-C
NPI #1033799564 in Clarksville, Tennessee
Provider Information
- NPI Number
- 1033799564
- Entity Type
- Individual
- Name
- Destinee Briana Fowler, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Apr 9, 2021
- Last Updated
- Jul 19, 2021
Practice Location
- Address
- 1492 TINY TOWN RD STE A1-A2
- City
- Clarksville
- State
- Tennessee
- ZIP Code
- 37042-7873
- Phone
- (615) 553-5000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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