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Search › Tennessee › 225200000X

Casey Banner

NPI 1679348106 · on the registry since 2023

Practice

Address
1940 Westland Dr Sw
Cleveland, TN 37311
Phone
(865) 392-2811
Organisation at this address
Tennessee State Veterans Home Board
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-11-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee