Individual
MS. BECCA JO WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
109 W WATAUGA AVE, JOHNSON CITY, TN 37604-5621
(423) 232-2600
(423) 467-3644
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024172778
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
20144
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
28175679A
IN
Other
Enumeration date
05/15/2012
Last updated
06/17/2016
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