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Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1699204115

Individual Registrant:
Gender: F
Not Sole Proprietor

Location and contact information for practice:
815 W 5TH NORTH ST  MORRISTOWN, TN 37814-3810 US
Tel: 423-586-5032  Fax: 423-581-8473

Contact information for business:
Tel: 800-355-3565  Fax: 423-714-2355

Registration Information:
NPI: 1699204115
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner

Legacy codes, insurance codes and state license numbers:



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