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1730961178
KELLEY NICOLE FOWLER
SELMER, TN
NPI
1730961178
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TN 34876)
Enumeration Date
2023-10-19
Last Update Date
2024-03-07
Business Address
KELLEY NICOLE FOWLER NP
270 E COURT AVE
SELMER, TN 38375-2304
Phone number: 731-645-7932
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Mailing Address
KELLEY NICOLE FOWLER NP
115 GRACE THOMAS RD
MICHIE, TN 38357-7042
Phone number: 731-610-2643
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