Individual
ISAIAH IACABONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5213 STARWIND PT, HERMITAGE, TN 37076-3644
(719) 334-3658
Mailing address
5213 STARWIND PT, HERMITAGE, TN 37076-3644
(719) 334-3658
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
267713
TN
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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