Individual
MS. JOANNE D IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4966 HIGHWAY 11W, HAWKINS MEDICAL CENTER, ROGERSVILLE, TN 37857
(423) 272-5600
(423) 272-1428
Mailing address
PO BOX 850, ATTN WANDA BROWN CREDENTIALING, ROGERSVILLE, TN 37857-0850
(423) 272-9163
(423) 921-6920
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11979
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3643282
—
TN
01
—
4124843
BCBST
TN
Enumeration date
04/27/2006
Last updated
12/27/2012
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