NPI 1205318557

Banyan Family Night Clinic, LLC

Organisation Family Nurse Practitioner Cleveland, TN

Practice location

Address: 276b James Asbury Dr NW, Cleveland, TN 37312-2984
Phone: (423) 464-5776
Fax: (423) 464-5665

Authorised official

Name: Tammy Wingo-Salmond
Title: Provider/Owner
Phone: (423) 284-3157

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X

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Registry record

NPI: 1205318557
Entity type: Organization
NPI issued: 4 Sep 2018
Record last updated: 4 Sep 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.