Individual
MRS. LAURA RUTH JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
333 HILL RD, KINGSPORT, TN 37664-4316
(423) 354-1685
(423) 354-1691
Mailing address
501 WAHOO VALLEY RD, KINGSPORT, TN 37663-3903
(423) 323-9287
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN0000103502
TN
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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