Individual
MRS. EDEN MARIE VILLIARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6419 BRISTOL HWY, PINEY FLATS, TN 37686-5208
(423) 538-5202
Mailing address
133 BOONE RIDGE DR APT 79, JOHNSON CITY, TN 37615-5008
(276) 220-0678
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
32491
TN
Other
Enumeration date
09/16/2022
Last updated
10/18/2023
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