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General NPI Number Information
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NPI Number | 1447059530
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Entity Type | Individual
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Provider Name | SHERIE LENAE VESTAL WHNP
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Gender | Female
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Dates
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Enumeration Date | 03/11/2025
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 6294 HIGHWAY 41A
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City | PLEASANT VIEW
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State | TN
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Zip | 37146-8175
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Country | US
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Telephone | 629-244-1654
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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 |
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Name |
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Credential |
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Telephone |
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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 | 38433
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License Number State | TN
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