Individual
MRS. COURTNEY EVELYN BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1319 BELL RIDGE RD, #502, JOHNSON CITY, TN 37601-8014
(423) 647-7105
Mailing address
1319 BELL RIDGE RD, #502, JOHNSON CITY, TN 37601-8014
(423) 647-7105
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
79445
TN
Other
Enumeration date
07/24/2013
Last updated
07/24/2013
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