Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | APN0000007233 | TN |
NPI | 1003912486 |
---|---|
Provider Name | Mrs. Wendy Lynn Knuckles |
First Address | Nashville, TN 37212-2637 |
Second Address | Nashville, TN 37212-2637 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2006 |
Last Update Date | 08/07/2007 |