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General NPI Number Information
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NPI Number | 1346107075
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Entity Type | Organization
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Legal Business Name | HAVENGRACE WOMEN'S HEALTH PLLC
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 2668 TOWNSEND CT. SUITE A
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City | CLARKSVILLE
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State | TN
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Zip | 37043
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Country | US
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Telephone | 253-212-6078
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Fax |
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Provider Business Mailing Address
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Address Line | 3172 DUNLOP LN
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City | CLARKSVILLE
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State | TN
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Zip | 37043-1406
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Country | US
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Telephone | 253-212-6078
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHERIE LENAE VESTAL
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Credential | APRN, WHNP
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Telephone | 253-212-6078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State |
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