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
Authorized Official
- Name
- TAMMY WINGO-SALMOND, MSN, FNP
- Title
- PROVIDER/OWNER
- Phone
- (423) 284-3157
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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