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1609302884
KELLY FAIRBANKS
NASHVILLE, TN
NPI
1609302884
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 22374)
Enumeration Date
2017-05-07
Last Update Date
2023-10-23
Business Address
KELLY FAIRBANKS APN
2300 PATTERSON ST
NASHVILLE, TN 37203-1538
Phone number: 844-673-6968
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Mailing Address
KELLY FAIRBANKS APN
PO BOX 2127
SMYRNA, TN 37167-1711
Phone number: 844-673-6968
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