Banyan Family Night Clinic, LLC

NPI #1205318557 in Cleveland, Tennessee

Provider Information

NPI Number
1205318557
Entity Type
Organization
Organization Name
Banyan Family Night Clinic, LLC
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Sep 4, 2018
Last Updated
Sep 4, 2018

Practice Location

Address
276B JAMES ASBURY DR NW
ZIP Code
37312-2984
Phone
(423) 464-5776

Authorized Official

Name
TAMMY WINGO-SALMOND, MSN, FNP
Title
PROVIDER/OWNER
Phone
(423) 284-3157

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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