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Organization
OCTENNIAL HEALTH SERVICES, LLC
Active
Organization
OCTENNIAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY ANDERSON FNP (OWNER)
(423) 530-1132
Entity
Organization
Contact information
Practice address
7 WAYLAND CT, JOHNSON CITY, TN 37604-1139
(423) 530-1132
Mailing address
7 WAYLAND CT, JOHNSON CITY, TN 37604-1139
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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