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Individual

MS. JOANNE RICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2204 PAVILION DR, SUITE 105, KINGSPORT, TN 37660-4657
(423) 392-6100
(423) 392-6159
Mailing address
2204 PAVILION DR STE 105, KINGSPORT, TN 37660-4651
(423) 392-6100
(423) 392-6159

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
50716
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
9077
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1508912
TN
Enumeration date
03/20/2007
Last updated
02/10/2023
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