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Individual

MS. BRENDA G. GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1233 SOUTHWEST AVENUE EXTENSION, JOHNSON CITY, TN 37604-6519
(423) 979-4633
(423) 979-3268
Mailing address
112 KNOLLCREST DR, JONESBOROUGH, TN 37659-3809
(423) 979-4633

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
037670
TN

Other

Enumeration date
02/07/2007
Last updated
07/08/2007
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