Raven Michelle Heatherly, NP-C

NPI #1417456203 in Oak Ridge, Tennessee

Provider Information

NPI Number
1417456203
Entity Type
Individual
Name
Raven Michelle Heatherly, NP-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
NP-C
Enumeration Date
Feb 7, 2018
Last Updated
Aug 8, 2018

Practice Location

Address
90 VERMONT AVE STE 300
ZIP Code
37830
Phone
(865) 481-2541

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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