Individual
MS. REBEKAH DAWN MATTOX
Active
Individual
MS. REBEKAH DAWN MATTOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
226368
TN
363LA2100X
Acute Care Nurse Practitioner
Primary
30114
TN
Other
Enumeration date
07/28/2021
Last updated
03/22/2022
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