Individual
CHRISTINA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
224 OLD MILL RD, WARTBURG, TN 37887-4163
(423) 346-6221
(423) 346-5565
Mailing address
PO BOX 408, WARTBURG, TN 37887-0408
(423) 346-6221
(423) 346-5565
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21153
TN
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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