Individual
BRANDI OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
WATAUGA BEHAVIORAL HEALTH SERVICES, 109 WEST WATAUGA AVENUE, JOHNSON CITY, TN 37601
(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
164W00000X
Licensed Practical Nurse
Primary
LPN95502
TN
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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