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NPI 1710487004

NPI 1710487004 : HEATHER SNELL PMHNP-C : MURFREESBORO, TN

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General NPI Number Information
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    NPI Number           |    1710487004
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    Entity Type          |    Individual 
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    Provider Name        |    HEATHER SNELL PMHNP-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/13/2018
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    Last Update Date     |    03/19/2024
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Provider Practice Location Address
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    Address Line         |    3400 LEBANON RD 
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    City                 |    MURFREESBORO
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    State                |    TN
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    Zip                  |    37129-1392
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    Country              |    US
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    Telephone            |    615-867-6000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3400 LEBANON RD 
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    City                 |    MURFREESBORO
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    State                |    TN
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    Zip                  |    37129-1392
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    Country              |    US
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    Telephone            |    615-867-6000
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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        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    1-123276
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    License Number State |    AL
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Taxonomy #2
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    35380
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    License Number State |    TN
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Taxonomy #3
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    9888
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    License Number State |    MN
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Taxonomy #4
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    R45930
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    License Number State |    ND
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Taxonomy #5
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    R45930
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    License Number State |    ND
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