Most Relevant Information
Provider Data
| NPI Number: | 1003457409 |
| Provider Name: | LEVEN WARD AGACNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | APN000026424 |
Most Important Dates
| Enumeration Date: | 10/07/2019 |
| Last Updated: | 10/07/2019 |
Provider Practice Location
250 HARTFIELD DR
MEDINA
TN
383558941
Practice Location Phone/Fax
| Phone: | 7316953175 |
| Fax: |
Provider Mailing Location
250 HARTFIELD DR
MEDINA
TN
383558941
Provider Mailing Phone/Fax
| Phone: | 7316953175 |
| Fax: |